St. Stephen's United Methodist Church - Musical Camp 2013: It's Cool in the Furnace

Musical Camp 2013: It’s Cool in the Furnace Registration

St. Stephen’s UMC 2013 It’s Cool in the Furnace Musical Camp August 12-16, 1 - 4 p.m.

REGISTRATION for RISING 2nd grades thru RISING 7th grades
Musical will be performed on Sunday, August 18 at 11:00 a.m.

Fill out a form for EACH child.

Name of Child (*)

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Male or Female (*)
Male Female
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Birth date (mm/dd/yyyy): (*)

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Age (*)

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Grade COMPLETED June 2013: (*)

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Parent/Guardian Names: (*)

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Email: (*)

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Address: (*)

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City: (*)

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State: (*)

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Zip: (*)

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Phone: (*)

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Parent/Guardian Contact Phone Number DURING CAMP: (*)

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If parent cannot be reached in EMERGENCY, contact: (*)

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Secondary Emergency Contact Person Phone: (*)

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What Church Do You Attend?

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ALLERGIES or SPECIAL NEEDS:

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My child may be picked up by: (*)

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I give permission for: (*)

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to be involved in St. Stephen’s UMC Let’s Rock Musical and its activities. I understand that my signature grants permission for the event stated above and any necessary medical care should I not be available. I waive any and all claims against the leaders and their assistants, the officers, agents, and representatives of the St. Stephen’s United Methodist Church.
In addition I understand that pictures and videos that include my child (without identifiable name promotion) may be used for publicity.
**PLEASE NOTE that It’s Cool in the Furnace is a MUSICAL that children will perform on Sun-day, August 18 during the 11:00 a.m. worship hour.

Parent’s Digital Signature: (*)

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Today's Date: (*)

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