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Nursery Registration (ages 2 and under)
Family Camp 2025
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* Indicates required question
Child's name
*
Your answer
Child's age
*
Your answer
Parent/Guardian Names
*
Your answer
Parent/Guardian Camp Accommodations
*
Your answer
Cell Phone Number
*
Your answer
Dates attending? Check all that apply.
Friday, June 27
Saturday, June 28
Sunday, June 29
Monday, June 30
Tuesday, July 1
Wednesday, July 2
Thursday, July 3
Friday, July 4
Please select the items your child can drink:
*
Bottle in diaper bag
Sippy cup in diaper bag
Cup of water
Required
Which items can your child eat?
*
Snack in diaper bag
Cheerios
Required
Please select the items that apply to your child:
*
Pacifier
Morning nap
Special toy/blanket
None of the above
Required
Allergies:
*
Your answer
Special notes or concerns:
*
Your answer
Do you give permission for the above named camper to have his/her picture taken for program and publicity purposes for Delta Lake Bible Conference Center?
*
I give permission.
I do NOT give permission.
Authorization:
By typing your
name
,
date
, and
relationship
to the camper in the space below will constitute agreement and your permission for us to care for your child at Family Camp 2025.
*
Your answer
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