Parent's Information
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Last Name
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Email
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Phone
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Mailing Address
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Child's Information
1. Child Name
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Date of Birth
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2. Child Name
Date of Birth
3. Child Name
Date of Birth
More Information
Emergency Contact - List at least 1
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Allergies, medications and personal or religious dietary restrictions
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Comment (optional)
Photos taken during camp may be used on our school website, blog, social media, advertising, or school publications.
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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
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By checking this box I agree to the terms and conditions in the above statement and authorize my electronic signature above
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