I HAVE A DREAM CAMP Registration

January 19, 2026 | Please fill out this form and click submit.

SECTION 1: Parent/Guardian Information

Parent/Guardian Full Name

Phone

This address will receive a confirmation email

Preferred Method of Contact

Please select all that apply.

Phone Text Email

SECTION 2: Child Information

Children's Full Names + Ages + Grades

Any allergies or dietary restrictions?

Does your child have any additional needs or accommodations that would help us serve them well?

SECTION 3: Session Selection

Which track are your children most interested in?

Please select one option.

Sport Creative Arts Either is fine

If choosing SPORTS, does your child prefer

Please select one option.

Soccer Basketball General Games / Movement No Preference

If choosing CREATIVE ARTS, does your child prefer

Please select one option.

Visual Arts (painting/drawing) Performing Arts (dance/drama) Crafts & Creativity No preference

SECTION 4: Emergency Information

Emergency Contact Name (if other than Parent)

Emergency Contact Phone Number

Relationship to Child

SECTION 5: Permissions & Policies

Check-in and Pickup Authorization - Who is authorized to pick up your child? (List all names)

Photo/Video Permission

Please select one option.

Yes, I give permission for my child to be photographed for Bridge and Schenzel communications. No, I do not give permission.

Liability + Participation Waiver

Please select all that apply.

I acknowledge that my child is participating voluntarily in the I Have a Dream Camp hosted by Bridge Church and Schenzel Community Center. I release the organizers, staff, and volunteers from liability for ordinary injuries that may occur during normal ca

Medical Consent

Please select all that apply.

In the event of an emergency, I authorize the staff to seek medical care for my child if I cannot be reached.n

SECTION 6: Final Confirmation

How did you hear about I Have a Dream Camp?

Please select one option.

Bridge Church Schenzel Community Center Conestoga Elementary A friend Social media Other

Anything else you want us to know about your child?

Final Acknowledgment

Please select all that apply.

I confirm that all information provided is accurate and I understand that space is limited. I will receive a confirmation email once my child is officially registered.

Description

January 19, 2026

Please fill out this form and click submit.

I HAVE A DREAM CAMP Registration

Description

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