Please list (1) emergency contact below. Please include FULL NAME, PHONE NUMBER, and RELATIONSHIP TO CHILD. (i.e. grandmother, uncle, family friend, etc.)
Are there any allergies, medical, behavioral, or educational needs that would be helpful for us to know?
Are there any allergies, medical, behavioral, or educational needs that would be helpful for us to know?
Are there any allergies, medical, behavioral, or educational needs that would be helpful for us to know?
Are there any allergies, medical, behavioral, or educational needs that would be helpful for us to know?
I understand my child(ren) will be photographed while participating at Central Hybrid Summer Camp and understand that these pictures may be published in various Central Hybrid related media.
As the parent (or legal guardian), I certify that my child(ren) has my express permission to participate in Central Hybrid's Summer Camp program.
It is my understanding that Central Hybrid will attempt to notify me in case of a medical emergency involving my child. If Central Hybrid cannot reach me, then I authorize Central Hybrid to secure a doctor or other health care professional, and I give my permission to the doctor or other health care professional to provide the medical services he or she may deem necessary. I will notify Central Christian Hybrid if I feel there are any health considerations that would prevent my child's participation in an activity. I also give my permission for Central Christian Hybrid leaders to restrict my child(ren) from participating in any activity that they have any question about for health or other reasons.
I understand that with any activity injury may occur and I agree to hold Central Christian Hybrid and its affiliates harmless if any injury does occur.
