Summer Camp | Cross of Life Montessori

First Name *

Last Name *

Email *

Phone *

1. Child Name *

Date of Birth *

2. Child Name

Date of Birth

3. Child Name

Date of Birth

Photos taken during camp may be used on our school website, blog, social media, advertising, or school publications. *

Yes, my child's picture may appear in school publications and media

No, my child's picture may not appear in school publications and media

Medical Release: I authorize COLCMS to sign any forms required to admit my child(ren) as named above for emergency medical treatment. I do so in order to ensure that my child(ren) may receive prompt medical attention in case of an emergency when I cannot reach the facility promptly. I certify that I will be held liable for all medical and hospital expenses incurred in this regard. SIGNATURE REQUIRED-Please type full name *