Base Camp 2022 - Child Registration

Parent/Guardian Full Name

This address will receive a confirmation email

Phone

Address

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship to Child(ren)

Child's Full Name #1

Child's Grade Level #1

Child's Full Name #2

Child's Grade Level #2

Child's Full Name #3

Child's Grade Level #3

Child's Full Name #4

Child's Grade Level #4

Child's Full Name #5

Child's Grade Level #5

Child's Full Name #6

Child's Grade Level #6

Child's Full Name #7

Child's Grade Level #7

Any allergies/medications? If so, please list below with child's name if multiple children are listed.

Special needs?

Will you need childcare? (ages 0-2 only). If yes, list child's information below.

Yes No

Child's Name (A)

Child's Name (B)

Child's Name (C)

Any allergies/medications? If so, please list below with child's name if multiple children are listed.

By registering my child(ren) for Base Camp, I authorize that my child's image or likeness may be photographed, filmed, and be used in video, print, or web materials.

By giving my email address, I understand that I will be added to Vive City Chapel's database. Vive City Chapel will not give or sell my personal information to any third parties.

Description

June 15, 16, & 17 | 6 PM-9 PM | Check-in at 5:15 PM

Base Camp 2022
FREE Summer Camp
PreK3 thru 5th Grade

Check-in is at 5:15 PM

Age 3-Kindergarten: Yellow Jellyfish
1st-2nd Grade: Purple Stingrays
3rd-5th Grade: Blue Sharks

Make sure children wear their appropriate team color based on grade level and arrive early for face painting and snacks! There will also be childcare for babies/toddlers (ages 0-2).

Sports, Arts & Crafts, Praise & Worship, New Friends, Indoor & Outdoor Games, Snacks

Join a crew of deep sea explorers from the Sea Exploration Agency as we are on a mission to explore the deepest depths of the ocean, in search of knowledge about its Creator.

And YOU'RE invited to become a SEA agent in training!

Please register your child(ren) for Base Camp by completing this form.

Base Camp 2022 - Child Registration

Description

Please Fix the Following