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2024 Fine Arts Camp: Over Wind And Wave
Register for this summer's camp at Living Hope: June 11-14, 2024 (Tuesday through Friday). Camp will run from 9am to 12pm. If registering more than three children, please submit a second form.
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Email
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Your email
First and last name of parent(s) or legal guardians:
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Your answer
Physical address
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Your answer
Best email address for camp communications.
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Your answer
Best phone number(s) to reach you
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Your answer
Child's name
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Your answer
Grade entering this fall
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Pre-K (age 4+)
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Required
Second child's name (if applicable)
Your answer
Grade entering this fall
Pre-K (age 4+)
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Third child's name (if applicable)
Your answer
Grade entering this fall
Pre-K (age 4+)
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Do any of the registered children have food allergies or other conditions we should be aware of?
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Yes
No
If YES, please specify
Your answer
Are all your children toilet-trained, not needing assistance when using the bathroom?
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Yes
No
Name and phone number of an emergency contact/other adult who has your permission to drop off and pick up your chil(dren). Please also list their relation to you (ex: aunt, family friend, etc.)
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Your answer
I hereby give my consent as the parent/legal guardian of the above-named child(ren) to participate in the Fine Arts Camp at Living Hope Lutheran Church at 3903 Old Hundred Rd S, Midlothian, VA 23112. My child(ren) and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteers from any and all liability from any claim, injury, or loss sustained by or during my child(ren)'s participation during the Fine Arts Camp. I hereby authorize Living Hope to take and use photography and/or video of my child(ren) for crafts, keepsakes, or promotional purposes in any type of media and understand that I will not be compensated for any such use.
Please type your name below to express your agreement with this consent form.
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Your answer
A copy of your responses will be emailed to the address you provided.
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