Participant's Name:

Participant's Age/Grade:

Summer Activity Registration
Please check all activities your child will participate in.
252Kids Week - June 23rd-27th from 9-5pm (Ages 2-6th Grade)
Wichita Mountain Trip - June 10th from 8-5pm (Grades K-6)
Fort Worth Zoo Trip - July 10th from 8-5pm (Grades K-6)
Preteen Camp- July 28th-August 1st at Camp Chaparral (Completed 4th-6th)
Children’s Camp- August 11th-13th at Camp Chaparral (Completed 1st-3rd)

Parent or Guardian Name:

Contact Phone Number:

Emergency Contact Name:

Emergency Contact Phone:

Allergies:

Other IMPORTANT information about your child that will help us care for him/her:

Are you available to help with any of the above listed activities?
Yes
No
If so, which ones:

For more information please contact Allison Martin at (940) 692-0735.

If you are submitting a printed registration form, please return the form and medical release to the church office by June 15th. To obtain a medical release, please click here or pick one up at the church office.