Faith In Action Camp (K-5th Grade) 2025

Child's Information

Picture

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Child's First Name

Child's Last Name

Gender

Male Female

What grade is your child currently in?

Kinder 1st 2nd 3rd 4th 5th

Date of Birth

Parent/Guardian

First Name

Last Name

This address will receive a confirmation email

Phone

Address

Church Currently Attending?

Does your child have any medical conditions we should be aware of?

Does your child have food allergies or dietary restrictions?

Emergency Contact Information (different than the parent listed above)

First and Last Name

Emergency Contact phone

Relationship to child:

Medical Release

In case emergency medical treatment is needed, I give permission to the staff of the First United Methodist Church of Round Rock, or anyone acting on its behalf, to obtain necessary emergency medical treatment, by a licensed physician, hospital or clinic for my child. In providing consent, I understand that FUMC-RR does not have a medical staff on campus and that all decisions regarding the need for emergency treatment will be based upon reasonable judgment of the FUMC-RR, or its designee. I release FUMC-RR, and its staff, from any and all liability, claims, demands or causes of action related to any loss, damage or injury which may occur while my child is attending camp.

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Media Release

I herby grant permission for First United Methodist Church of Round Rock to use photographs, voice recordings and video recordings (collective, the Images) of my child on the church-wide website, social media, electronic communique, displays and/or other official printed publications.

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Child's Camp Cost $40

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Faith In Action Camp (K-5th Grade) 2025

Description

Please Fix the Following