Christmas Camp Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastAge *Parent(s) or Guardian(s) Name *Street Address *City, State, and Zip Code *Parent(s) or Guardian(s) Cell Phone # *Email *Name and Phone # of Person picking up/dropping off (if other than parent or guardian)Photo ReleaseI AgreeI authorize and give consent for Kent First Baptist Church to use photos taken at thus event (Dec. 27th, 2022) to be used for church promotional uses such as flyers, social media, etc.Allergy Information: Does your child have allergies we need to now about?Food / snacks are served as part of the program, and alternative options will be provided for children with known allergies.Medical Release *I Authorize and Consent...to medical, surgical, x-ray, anesthetic, dental treatment or hospital care, treatment and procedures to be performed for my child by a licensed physician or hospital when deemed necessary or advisable by a physician to safeguard my child's health. I understand that efforts will be made to contact me prior to treatment, but in the event that I cannot be reached in an emergency, I give permission to the KFBC leader available to make the decisions necessary for treatment.Medical provider name // Insurance numberFirstLastParent / Guardian Signature *By typing your name, you are stating agreement to allow your child to participate in the Kent First Baptist Christmas Camp. MessageSubmit
