SWC "Faith Safari" Day Camp 2021

Parent / Guardian Information

• Please complete the PARENT / GUARDIAN information, then USE THE "ADD" BUTTON TO ADD INFORMATION FOR EACH CAMPER YOU ARE REGISTERING. We have a limited number of spaces available. Early registration and full payment will help assure your child a space. We will accept applications through the first day of camp. NOTE: COVID protocols will be in place during camp.

• Junior Day Camp: Junior Day camp is for children ages 4 through kindergarten. Jr. Camp is all day from 8:30 to 4:00. All campers must be potty trained.

• Day Camp Camper and Jr. Camper Fees: Early Bird Registration: Camper: $100.00 • Siblings : $85.00 Beginning Monday May 4th: Camper: $130.00 • Siblings: $100.00 TO RECEIVE EARLY BIRD PRICING, PAYMENT IN FULL MUST BE RECEIVED BY SUNDAY, MAY 3RD, 2021.

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Phone:
• * Cell Phone:

• Fee

  Type	Fee
  Parent or Guardian (Registrant - No Charge)	No Charge

Authorized Pick Up Persons:

• * The following persons have my authorization to pick up my child(ren) from camp. ONLY THOSE LISTED WILL BE ALLOWED TO PICK UP YOUR CHILD(REN). PLEASE INCLUDE YOUR OWN NAME.
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You MUST "Add" each camper individually

You may add a maximum of 8

Misc. Information and Signature

• I might be interested in volunteering to help during Day Camp. Please contact me with information about the volunteer positions available. (Please select how you would like us to contact you)

  • Please contact me at the phone number listed above
  • Please contact me via email
• Who might we thank for referring you? If not referred, how did you hear about the SWC Day Camp?
• Family's Home Church
• *

  Have you registered each camper? If not, please use the "Add Campers" button above to complete registration. Pease complete a Medical Release and Participation Form for EACH camper. Visit SWConline.net/daycamp to download Medical Information PDF forms.

  • I have registered all campers and will complete a Medical Release Form for each.
• SIGNATURE: By submitting this online registration form I am agreeing to the terms stated above. I also certify that the information provided by me is true and accurate to the best of my knowledge. Please type your name and today's date in the blank below in lieu of a handwritten signature.