Parent Shopping Day Registration

Parent Shopping Day Registration

Please fill out a registration form for EACH CHILD you will be bringing
Parent Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Name*

First NameLast Name
Child's Age*
Child's Date of Birth*

MonthDayYear
Date
Does your child have any allergies?

YesNo
If "Yes", please list allergies:
Are there any physical limitations, or other information we should know to be able to provide the best experience for your child?
Medical Treatment Consent
I hereby give permission for the camp nurse, first aid staff, or other qualified medical personnel to administer routine health care and first aid to my child. In the event of an emergency and I cannot be reached, I authorize Sky Lodge Christian Camp to obtain and consent to any medical or hospital care deemed necessary by a licensed physician or qualified medical provider. I understand that I am responsible for any medical expenses incurred as a result of such treatment.
Signature*

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Payment*
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Registration - Parent Shopping DayIncludes programming from 8 a.m. - 12 p.m. and a mid-morning snack. No meals will be provided.
$20.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.