Children’s Music Camp August 5-9, 9:00 am – 12:00 noon Registration 2019 Child's Name Parent(s)/Guardian(s)' Names Address City, State, Zip Code Date of Birth Grade Just Completed Home Phone Parent Cell Phone Parent Email Attend what church List all allergies (if none, put "none") List Major Illnesses (if none, put "none") List Regular Medications Emergency Contact #1 Phone Emergency Contact #2 Phone Who will pick up child Photo consent: Crowfield Baptist Church has my permission to publish any pictures that the above named child might appear in on their website, in power point presentations, or in their newsletter or other church publications. AcceptDon't accept T-Shirt Size: Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (34-36)Adult Medium (38-40)Adult Large (42-44)Adult X-Large (46-48)Adult 2X-Large (50-52) Comments or questions