June 25-29, 2018
9:00 - 11:30 am
2nd - 5th Grade
Chime camp is limited to the first 28 campers that register.
Parent's Name
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Primary Phone( ) -
Email
Phone number where parent/guardian can be reached during camp.( ) -
Camper Name - 1
Grade 2018/19
Male/Female
Any allergies or special needs?
Camper Name - 2
Not available to help
Monday
Tuesday
Wednesday
Thursday
Friday
Yes, my child will attend this event and have transportation
No, my child will not be able to attend.
9:30 am only
11:00 am only
Both
Neither
In the event of a medical emergency, Hosanna! will attempt to contact the parent/guardian before authorizing medical care.
Should it not be possible to contact the parent/guardian by telephone, the parent/guardian hereby gives their consent for treatment by a physician, including emergency room and hospitalization as necessary. Your typed name serves as a signature.
Hosanna! utilizes multi-media and the internet to share our ministries with the congregation and the community. Children's names are NEVER published by the church in association with pictures/videos. If you have any concern please contact the Director.
Questions/Comments