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.
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.