VBS/ROAR and Musical Theater Camp

Registration Form

August 5 - 9, 2019

Deadline: July 15th or when camp is full

For Kids finishing Kindergarten to finishing 8th grade

$50 includes t-shirt

Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
Check the Grade Your Child Completed this year: *
Parent / Guardian Contact Information *
Parent / Guardian Contact Information
Address *
Address
Cell Phone *
Cell Phone
Daytime Phone
Daytime Phone
Registration is waived for adults who volunteer M-F at musical theater camp. Let us know if you have specific skill(s) or a music background. This is not a requirement for you to volunteer, but rather to help us plan:
Name
Emergency Contact #1 Phone Number *
Emergency Contact #1 Phone Number
Emergency Contact #2 Phone Number *
Emergency Contact #2 Phone Number
Pick-Up Arrangements 1 *
Pick-Up Arrangements 1
Please be aware that we will ONLY release your child to the adult(s) listed below or the parent/guardian named on the registration form.
Pick-Up Arrangements 2 *
Pick-Up Arrangements 2
Please be aware that we will ONLY release your child to the adult(s) listed below or the parent/guardian named on the registration form.
Photo/Video Release *
I give Mission Hills UMC permission to use photographs or video that include my child in media products including newsletters both print and email, posters, brochures, post cards and web pages. My Child will not be identified in any of these media products.
If you have any questions or for additional information, please contact Rev. Jeanette Bragunier at (619) 985-5123 or revjeanette@missionhillsumc.org.