KIDS SUMMER CAMP

Kids Summer Camp this year will be at Cleburne State Park, July 31st-August 3rd .

Camp is open to all children 4th-6th Grade.

Cost is $100.
Registration Form
 
CHILD'S NAME
CHILD'S AGE    GRADE ENTERING IN FALL
MALE        FEMALE
ALLERGIES
PARENT'S NAME
ADDRESS
CITY, STATE, ZIP
HOME PHONE
CELL PHONE
EMERGENCY CONTACT

RELATIONSHIP PHONE

INSURANCE INFORMATION FOR MEDICAL RELEASE FORM
INSURANCE COMPANY :
INSURANCE CO. PHONE NO.
POLICY NUMBER
NAME OF INSURED