BaseCamp2024/2025
* First Name
* Last Name
* Birth Date
* Age
* Grade entering in the Fall
Select one
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
* Shirt Size
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
* Name of Parent/Guardian
* Email
* Mobile Phone
* Address
* City
* Zip/Postal Code
* Allergy/child notes
Medical Release
- Medical and Liability Release Form: We realize that no activity is without the possibility of unforeseen hazards which could result in injury to an individual. As a parent or guardian, you are to be aware of your responsibility to instruct your child of the importance of conduct which will insure safety and enjoyable time while participating in this activity. By signing this form, you, as a parent, guardian or other responsible party, agree to assume the risks and hazards which are inherent in this kind of activity. You also agree to absolve and hold harmless the sponsoring organizations and their representatives for damage, loss or injuries to the child for whom you sign. I give my child permission to participate in Fairview Kids activities, and give my permission to the leaders of this function to authorize any treatment deemed necessary by a licensed physician due to accident or illness during this activity.
Photo Release
- Photo Release: I further give my permission for the use of any photo or likeness of my child to be used by Fairview Missionary Church for their use in promotional materials.
* Digital Signature-I HAVE read the release statement listed above and agree to it
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