Summer Camp Registration Summer Camp 2017 Registration Registration for Faith Christian School Summer Camp Family InformationPrimary Contact Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Primary Contact Number*Primary Email* Emergency Contact Name* First Last Emergency Contact Number*Camper InformationCamper Name* First Last Grade Level (2017-2018)*T-shirt Size*Campers will receive a t-shirt during their first week of attendance and will be asked to wear the t-shirt on camp field trips. Child SChild MChild LAdult SAdult MSummer Camp Weeks Attending - Session 1If wishing to attend single days, please mark the week below and provide specific dates in the comments. June 5-8: Space June 12-15: Sports June 19-22: Theater June 26-29: Health Summer Camp Weeks Attending - Session 2If wishing to attend single days, please mark the week below and provide specific dates in the comments. July 10-13: Wildlife July 17-20: Exploration July 24-27: Sweets Single Days AttendingIf you wish to attend single days rather than a full week, please indicate the specific dates below. These MUST be provided at least 1 week in advance. We cannot accept drop-ins. Remember that camp runs Mondays - Thursdays only in June and July (excluding the week of July 3-6)Swim AbilityPlease give a brief description of the camper's Swim Level (Example: Can't swim, swims with floaties, swims on own - beginner, swims on own - advanced)Additional InformationPlease provide any additional information that will be helpful in working with your child (including allergies, personality traits, special needs, behavior concerns, etc)Acknowledgement of Commitments*In signing this form I authorize Faith Christian School to organize and transport my child on camp activities and field trips and have my child chaperoned by an adult that is appointed by the administration of the school. I authorize Faith Christian School to arrange for transportation in case of an accident or acute illness of my child. In the event it is impossible to receive instruction for my child’s care, consent is given to any licensed physician and/or surgeon called or to whom my child is taken, for treatment by him/her to administer drugs and medication, and to perform such surgical treatment as s/he shall think the existing emergency requires for pain relief and/or preservation of my child’s life, and/or health and wellbeing. Cost incurred for treatment of such illness or accident will be my responsibility. I also acknowledge that campers are expected to be respectful and cooperative. “Strikes” will be given for any disruptive or disrespectful behavior. If a camper accumulates 3 strikes in one day, a parent may be called to pick them up. Type your name below as a digital signature.