Summer Camp Registration | Church of God Hamilton

Name of Parent/Gaurdian *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone *

Email Address *

Home Church (if any):

Child's Name (1) *

Age(1) *

Gender(1)

Date of Birth (1) *

Grade completed in June 2025(1)

Allergies or Special Needs(1)

Child's Name (2)

Age(2)

Gender(2)

Date of Birth (2)

Grade completed in June 2025(2)

Allergies or Special Needs(2)

Child's Name (3)

Age(3)

Gender(3)

Date of Birth (3)

Grade completed in June 2025(3)

Allergies or Special Needs(3)

Child's Name (4)

Age(4)

Gender(4)

Date of Birth (4)

Grade completed in June 2025(4)

Allergies or Special Needs(4)

Consent to PhotographConsent to Photograph: We would like to take photographs of the children during their activities. These photographs may be displayed in the church to tell about our day, used as part of the children’s crafts, or part of the Summer Camp slide show at the Summer Camp Program on the Sunday following Summer Bible Camp. I hereby give permission for my child(ren) to be photographed during Summer Camp activities

Emergency Contact(1) *

Relationship(1) *

Phone(1) *

Permission to pick up (1) *

Emergency Contact(2)

Relationship(2)

Phone(2)

Permission to pick up (2)

Emergency Contact(3)

Relationship(3)

Phone(3)

Permission to pick up (3)

Precautions are taken for the safety and health of your child, but in the event of accident or sickness, the Church of God, its staff, and its volunteers are hereby released from any liability. In the event that your child requires medical care, the church will attempt to call the emergency contacts listed immediately. If this is not possible, I agree to allow the volunteers to make arrangements to have my child(ren) treated as required.

Parent/Guardian Name (as signature) *

Date *

Summer Bible Camp Registration 2025

Sundays

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