Free-Play Camp Registration
Please fill out this form and click submit to register for
Temple Baptist Church's Free-Play Camp
1/2 Day Camp from July 28th - Aug 1st
8:30 am - 12 pm
Child's Name
*
Grade (As of September 2025)
*
Please select one option.
SK - GR 2
GR 3 - 5
Select Option
SK - GR 2
GR 3 - 5
Birthdate
*
Parent/Guardian
*
Email
*
Phone
*
Address
*
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Allergies
Medical Information
Emergency Contact
*
Relation to Emergency Contact
*
Emergency Contact Phone Number
*
Other Information
Is there any other information we should know about your child?
Authorization
I authorize Temple Baptist Church to take pictures of my child which may be used in presentations and publications for church use.
*
Please select all that apply.
Yes
No
I give you permission to contact me about future events.
*
Please select all that apply.
Yes
No
I understand that precautions are taken for the safety of my child, but in the event of accident or sickness, Temple Baptist Church, it's staff, and volunteers are hereby released from any liability.
Submit
Description
Please fill out this form and click submit to register for
Temple Baptist Church's Free-Play Camp
1/2 Day Camp from July 28th - Aug 1st
8:30 am - 12 pm
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