Camp Registration Form printable pdf download

Camp Registration Form

CAMP REGISTRATION FORM

Date of Camp: ______________________

Childs Name: _________________________________________________

Address: ____________________________________________________

____________________________________________________________

Date of Birth: _________________

Age: _________________

Parents Name: _______________________________________________

Contact Number: _____________________________________________

Email: ______________________________________________________

In case of Emergency – Name: ___________________________________

Telephone: __________________________________________________

Do you give permission for anyone else to collect your child – Please

give details:

______________________________________________________

____________________________________________________________

Does your child have any allergies or information we need to know:

_____________________________________________________________

Is your child currently taking medication:

Yes

Please give details: ____________________________________________

Do you give permission for your child to be treated in the case of a

injury Yes

Do you allow your child to get their face painted: Yes

Do you understand the rules of camp and agree to them: Yes

Signature: _______________________

Date:

__________________

Celbridge Playzone

Unit E, M4 Business Park,

Celbridge, Co Kildare.

Phone (01) 6273996

Email:

Camp Registration Form