Malachi's Memorial Camp July 28 Grades 6 & under-CHECK IN 4-6pm (ONLY)Sunday, July 28 through CHECK OUT 7-7:30 pm (ONLY) Tuesday, July 30 Grades 7th-12th- CHECK IN 4-6 pm (ONLY) CHECK OUT 4:30-5pm (ONLY) Friday, August 2 (ONLY)
CAMP REGISTRATION FORM One Complete form for Each camper REGISTRATION DUE BY JULY 1 (This will assure you of getting space and a T-shirt) NAME__________________________________________________Grade starting in Fall ____ SHIRT SIZE (Circle One) Child XS S M LG Adult S M L XL XXL XXXL
PARENT/GUARDIAN NAME__________________________________PHONE #’s_____________ ADDRESS______________________________________________________________________ Second Contact_________________________________Phone #_________________________ DIETARY RESTRICTIONS__________________________________ALLERGIES________________ ACTIVITY RESTRICTIONS__________________________________________________________ PRESCRIPTION MEDICATIONS CHILD WILL BE USING___________________________________ DOES YOUR CHILD WEAR GLASSES_____________ CONTACTS __________________________ CHANGES FROM PREVIOUS YEAR: Split Camp Grades 6 & under-CHECK IN 4-6pm (ONLY) Sunday, July 28 through CHECK OUT 7-7:30 pm (ONLY) Tuesday, July 30
Grades 7th-12th- CHECK IN 4-6 pm (ONLY) Tuesday, July 30 through CHECK OUT 4:30-5pm (ONLY) Friday, August 2
WE MUST HAVE THE NAME OF THE PERSON PICKING UP CHILD _________________________( Print Name ) LOCK-IN Late registrations will only be accepted by July 15—NO WALK INS PLEASE NO PHONES OR ELECTRONICS--Because phones and electronics are a hinderance and a distraction we required them to be turned in at registration and returned when leavin Location of the camp—Larry and Marlene Wetter Farm 16290 O’Shadow Lane, Boscobel WI 53805 Phone #’s for questions Lance- 391-0153, Marlene-375-5253, Emily-485-1109, Janet-732-3737 If I (parent/guardian) am not available, I give consent to the leaders of the camp permission to seek medical treatment for my child in the event that it is necessary. I also release any liability for any mishap arising from this camp’s activities.
SIGNATURE OF PARENTS/GUARDIAN ______________________________________________ ______________________________________________ RETURN FORM TO Janet Nichols, 13005 Hwy 133, Mt Hope WI 53816 For more information and pictures of last year’s MMC go to www.mthopewichurch.org