Splash Camp Registration
June 7-11, 2021 from 8:15am- 3:30pm
Splash Camp Registration Form
Mark your calendars for [EVENT NAME]! We'll meet at [LOCATION] at [TIME]. We hope you can join us!
Child's First Name
Child's Last Name
Emergency Contact Number
Grade Last Completed
Parent's/Guardian's First Name
Parent's/Guardian's Last Name
Who will be picking up child at the end of the day? Photo ID required
List all child's allergies if any:
List any physical limitations that we need to be aware of if any:
Photos/videos are taken each day. By sending your child(ren) to Splash Camp, you are agreeing to allow their image to be used by Riverside Church on promotional materials only. Please acknowledge.
I acknowledge and agree.
In the event of an emergency, I give the staff of Riverside Church permission to seek medical treatment for my child(ren). Acknowledge by typing your full name.