CAMP FITZ

 

 

 

Name: _________________________________ age: __________ Grade: (going in to)_________

 

Address: _____________________________________________________________

 

 

Allergies:      _______________________________

Medications: ______________________________

Two Emergency Contacts & Phone #’s:

1)      _______________________________

 

2)      _______________________________

 

Attend Church at: ___________________________________

 

Sleeping at Lock-In:     YES     or     NO

 

I, ______________________________ give permission to my child _____________________ to participate in the events and activities at the Camp Fitz VBS Lock-In. I understand that Fitzgerald UMC is registered as a Safe Sanctuary Church and this event will follow all rules & guidelines accordingly.

 

Signed: ___________________________________             Date: ________________________