Kids Connection 2021 Summer Camp Registration AgreementSummer Camp Registration Agreement • April 22nd, 2021
Contract Type FiledApril 22nd, 2021CHILD NAME BIRTHDATE FALL 2021 GRADE SCHOOL ATTENDING CHURCH ATTENDING CAMP SHIRT SIZE ADDRESS HOME PHONE CITY STATE ZIP CHILD LIVES WITH: MOTHER FATHER BOTH OTHER EXPLAIN: MOTHER/GUARDIAN NAME EMAIL MOTHER/GUARDIAN CELL WORK PH EMPLOYER FATHER/GUARDIAN NAME EMAIL FATHER/GUARDIAN CELL WORK PH EMPLOYER OTHER PERSONS AUTHORIZED TO TAKE ABOVE CHILD FROM FPC PREMISES: