Christ United Methodist Church Napoleon, Ohio
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* June 17-20, 2019 for children entering grades K through 6.
* Monday through Thursday, 9:00-11:30 a.m.
* Hosted by Christ United Methodist Church in Napoleon, Ohio
* CAMP FEE: $5.00 (call the church office for scholarship information (419.592.8988)
* Registration and Fee are due two weeks prior to camp!
* Space is limited; please register as soon as you can
Indicates required field
Child's T-shirt size (click one box)
School Grade Entering (click one)
Allergies/Medical Conditions (enter 'none' if there are none)
Cell Phone Number
Work Phone Number
Home Phone Number
Parent/Guardian E-mail Address
Emergency Contact Name(s) (other than parent)
Emergency Contact Phone Number
The following person(s) (other than parent(s) named above) have permission to pick up my child. PLEASE NOTE: Any person picking up the child, including the parent must come into the church and sign the child out. Identification may be required.
My child, named above, has my permission to engage in Summer Camp(s). My child has no known health risks that would prevent his or her participation. I also agree that Christ United Methodist Church, including its staff and volunteers, will not be held responsible nor considered liable for any injuries my child may incur. By entering my name (in lieu of my signature) below, I am giving my permission to transport, or arrange for emergency transport, if needed, for my child in order to obtain emergency medical treatment.
I hereby GRANT permission for Christ United Methodist Church, Napoleon, Ohio to use pictures of my child on their Web site for informational or promotional purposes.
I hereby DO NOT GRANT my permission for Christ United Methodist Church, Napoleon, Ohio to use pictures of my child on their Web site for informational or promotional purposes.
Type Parent's/Legal Guadian's Name in lieu of signature: