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Summer Camp Form

Please make sure to finish this form completely and remember that your child's spot is not saved until their camp fee has been paid.

*What camp are you signing your camper up for?

*Camper First Name

*Camper Last name

*Camper Birthday

Month

Day

Year

*Camper Gender

*Camper T-Shirt Size

*School

*Grade Just Completed

*Parent or Legal Guardian

*Parent or Guardian Name

*Primary Phone Number

*Alternative Phone Number

*Street Address

*City

*State

*Zip Code

*Who is the primary legal guardian over camper?

*What is the campers household structure?

Family Physician Name

Physician Phone Number

*Which ethnicities apply to camper

African/African American

Hispanic/Latinx

European/Anglo (white)

Asian/Asian American

Native American/Indigenous

Pacific Islander

Middle Eastern

Other

Select ALL that apply to camper.

*Which language is spoken/understood by camper?

English

Spanish

French

German

Portuguese

Other

Select ALL that apply to camper

Health History

*Camper Health

Does the camper have any known allergies

Yes

Does the camper take any prescribed medication

Yes

All medication taken to camp must be in original packaging

with camper's name and info.

I understand that my child is registering to attend camp with House of Faith-Abilene. I hereby give my permission for my child to attend and agree to indemnify and hold harmless House of Faith-Abilene and any representative from any claim by any person whomsoever on account of care and treatment of said participant. I have read and agree to the House of Faith-Abilene Policies and Disclaimers.

Click here to read House of Faith-Abilene Policies and Disclaimers

**Parent/Guardian's Signature required**

*Your Name

*Relationship to Camper

*Date of Signature

Month

Day

Year

House of Faith-Abilene

Exists to take Jesus to neighborhood children, youth and families, provide a sense of belonging, and strengthen their faith, enabling them to honor God with their lives and offer themselves in service to Him.

Mailing Address: PO Box 7653, Abilene, TX 79608

Email: hofabilene@gmail.com

Phone: 325-695-1912

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