Childs Name *
First Name
Last Name
What grade did your child just complete? *
What is their 1st choice? *
What is their 2nd choice? *
Any allergies, medical conditions, or special instructions?
T-shirt size *
Was your child referred by a friend who attends MBIC? (If they were, their friend's name will be entered into a drawing for a Rita's gift card!)
I am the legal guardian of the participant, and I grant permission for this registered student to attend Kids Camp, June 18 - 22, 2018. I waive all claims against Manheim Brethren in Christ Church, its employees, and volunteers; in any case of accident or injury during this event, recreational and sporting events, and all other activities during these specified dates. *