Bridge Kids Summer Club 2024 Registration

GUARDIAN INFORMATION

Name

This address will receive a confirmation email

Phone

Address

PARTICIPANT INFORMATION

First Name

Last Name

Birth Date

Grade (By Fall 2024)

Emergency Contact Information (if other than guardian)

MEDICAL INFORMATION

Allergies or Medical Condition

Insurance Company and Policy Number

CONSENT OR RELEASE FROM LIABILITY

My child has permission to participate in Summer Club

I agree

Bridge has permission to use photographs and/or videos for ministry and promotional purposes including websites. I understand I will not be paid or rewarded for providing this authorization.

I consent I am opting out

Description

July 22 - 25, 2024

Please fill out this form and click submit.

Bridge Kids Summer Club 2024 Registration

Description

Please Fix the Following