Kids Day Camp Registration

Please fill out this form for each child you wish to register for Kids Day Camp.

Child's Name *

Child's Name

First Name

Last Name

Child's Age *

Please select your child's age as of July 16, 2018

Child's Grade

Please select the grade your child is going into (if applicable)

Parent/Guardian Name *

Parent/Guardian Name

First Name

Last Name

Email Address *

Phone *

Phone

(###)

###

####

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Allergies, Special Needs, and Other Notes

Photo/Video Release

I give permission for my child to appear in photographs and videos taken during this event to be used at The Church on Seven Hill's discretion (promotions, social media, etc.).

Medical Release *

I release The Church on Seven Hills from any liability for injury or property damage incurred by my child during this event.

Check All That Apply

I'm interested in learning more about The Church on Seven Hills

Keep me informed about community events

Kids Day Camp Registration

July 16-19 | 9am-12pm475 Burncoat StreetWorcester, MA 01606

July 16-19 | 9am-12pm
475 Burncoat Street
Worcester, MA 01606