Fellowship with Holy Spirit 2026 Summer Camp Registration Form

Fellowship with Holy Spirit 2026 Summer Camp Registration Form

1275 E Broadway, Anaheim CA92805 June 15(Mon) - June 18(Thur) Daily Hot Lunch and snacks Served*
Child/Participant's Full Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Child Age
Grade(as of Fall 2026)
Parent/Guardian Full Name

First NameLast Name
Relationship to child
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any allergies, medical conditions, or special needs
Does your child need to take medication during camp?
Medication Authorization
Pediatrician Name
Pediatrician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Insurance Information
Additional Comments or Requests
I authorize event-designated staff to take photographs, video, or audio recordings of the event for promotional or informational purposes, incuding print, web and social media platforms.
Please read the following carefully:
Are you a volunteer family?

Fellowship with Holy Spirit 2026 Summer Camp

$120.00 Quantity

Volunteer Family Registration

Complimentary - Only for pre-approved volunteer families. Unauthorized selection will result in cancellation.

Free Quantity

Total