Children’s Summer Programs Registration Form | Hidenwood Presbyterian Church

Use this form to sign up for both VBS and Art Camp

Child's Name*
First Last
Child's Gender*
- Male
- Female
Child's Birthdate*
MM slash DD slash YYYY
Last School Grade Completed*
Allergies*
- No
- Yes
Describe Child's Allergies*
Summer Camp Attending*
- Art Camp, June 28-July 2
- VBS, July 19-23
Register for VBS, Art Camp or both on the same form
Parent's Name*
First Last
Address*
Street Address Address Line 2 City ZIP / Postal Code
Best Phone Number*
Parent's Email*
Home Church
Emergency Contact*
First Last
Emergency Contact Phone Number*
Photo Release*
- Yes
- No
- Other, please explain below
I give Hidenwood Presbyterian Church permission to use photos of my chiold in church publications such as their Website and Facebook page
Additional Comments or Requests
Registration Fee

This year there will be a $5.00 registration fee for VBS and a $5.00 fee for Art Camp. Please bring your payment with you on the first day of camp.
Name
This field is for validation purposes and should be left unchanged.