We hope to see you there!

Please enter the child's information below.

*Child's Name:

*Child's Gender:
MaleFemale

*Child's Age:

*Child's Date of Birth (mm / dd / yyyy):

*Last School Grade Completed:
---NoneKindergarden1st2nd3rd4th5th6th7th8th9th10th11th

Please enter the parent information below.

*Name of Parents:

*Street Address:

*City:

*State:

*ZIP:

Home Number:

*Parent or Caregiver's cell number:

*Your Email:

Home Church:

Please enter in the Emergency Information

*Allergy or other medical conditions (if none, please type 'none'):

*In case of emergency, contact:

*Phone:

*Relationship to child:

** For safety reasons, each child will be assigned a (#) "Number Card" on the first night. That # card will need to be shown to pick your child up each night. **
*List names of who can pick up your child:

Shirt Size ---Child Sm 6-8Child Med 10-12Child Lg 14-16Adult SmAdult MedAdult LargeAdult XLAdult 2XLAdult 3XL