Kids Camp Registration

August 21-25 from 9am-12pm. All ages 0-11 welcome!

Please fill out the form below to register your child for Noah's Ark Kid's Camp.

 
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Please list the First and Last Name, and Age of each child being registered. i.e. Tommy Smith 8
Please list any allergies or health conditions your child(ren) has that our team should be aware of. i.e. Peanut Allergy, Asthma etc.
Additional Emergency Contact
Additional Emergency Contact
To be contacted if the above parent cannot be reached in the event of an emergency.
Phone
Phone
Activity Permission: *
I/ We have been informed of the above activity, Kids Camp by Main Street Alliance Church and hereby give consent for my minor child/children to participate in this activity and that the possibility of an unforeseen hazard does exist. I further agree not to hold Main Street Alliance Church, its leaders, employees and volunteer staff liable for damages, losses, diseases or injuries incurred by the minor listed on this form.