Seventh & James Children's Music Camp 2025 Registration Form

We are delighted to offer Children's Music Camp this summer! Please complete the registration form below. If you would like to download the Music Camp flyer with all the details about Music Camp, please click here: Music Camp 2025.

If you need assistance with the form, please contact the Church Office (254-753-6425) or email Paula Hoover or Leslie Rosencrans.

Parent Name

This address will receive a confirmation email

Phone

Address

Camper 1

Camper Name 1

Birthdate

Last Completed Grade

School/District Last Attended

Camper 1 T-Shirt Size

Camper 2

Camper Name 2

Birthdate

Last Completed Grade

School/District Last Attended

Camper 2 T-Shirt Size

Camper 3

Camper 3 Name

Birthdate

Last Completed Grade

School/District Last Attended

Camper 3 T-Shirt Size

Camper 4

Camper 4 Name

Birthdate

Last Grade Completed

School/District Last Attended

Camper 4 T-Shirt Size

Music

Music tracks will be available via Google Drive. If you would prefer to have a CD, please select the option below.

Emergency Contacts & Medical Information

Name of Emergency Contact

Phone Number of Emergency Contact

Camper's Doctor

Doctor's Phone Number

List any chronic or recurring illnesses

List any allergies

Specific activities to be restricted

Medical information Camp Staff should know (dietary restrictions, allergies, medications)

Medical Insurance

Policy Number

Group Number

Name of Insured

In the event of an emergency, I hereby give permission to the physician selected by the Children’s Minister, or adult in charge, to secure proper treatment for my child.

I Consent

How did you hear about Music Camp?

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Seventh & James Children's Music Camp 2025 Registration Form

Description

Please Fix the Following