What A Mess! - Kid's Camp 2026 Registration

Children's Information

We are offering a discounted registration fee, for each child in your family that attends after the first!

First child, $25
Second child, $20
Three or more, $15 each

Please use the boxes below to enter the information about EACH child from your family that will be attending the "What A Mess!" kids camp!

Child #1 Information

Child's Name

Child's Age/Grade (going into)

4 yrs. (must be potty trained) 5 yrs. Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender

Male Female

Birthdate

T-Shirt Size (Youth & Toddler Sizing)

4T X-Small (4/6) Small (6/8) Medium (10/12) Large (14/16) X-Large (18) Other

Allergies

Medical Conditions

Other Concerns (behavioral, emotional, etc...) Is there anything else you would like our team to know about your child? What is your child interested in?

Child #2 - Information

Child's First Name

Child's Last Name

Child's Age/Grade (going into) 4 yrs. (must be potty trained) 5 yrs. Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender Male Female

Birthdate

T-Shirt Size (Youth & Toddler Sizing) 4T X-Small (4/6) Small (6/8) Medium (10/12) Large (14/16) X-Large (18) Other

Allergies

Medical Conditions

Other Concerns (behavioral, emotional, etc...) Is there anything else you would like our team to know about your child? What is your child interested in?

Child #3 - Information

Child First Name

Child Last Name

Child's Age/Grade (going into) 4 yrs. (must be potty trained) 5 yrs. Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender Male Female

Birthdate

T-Shirt Size (Youth & Toddler Sizing) 4T X-Small (4/5) Small (6/8) Medium (10/12) Large (14/16) X-Large (18) Other

Allergies

Medical Conditions

Other Concerns (behavioral, emotional, etc...) Is there anything else you would like our team to know about your child? What is your child interested in?

Child #4 - Information

Child First Name

Child Last Name

Child's Age/Grade (going into) 4 yrs. (must be potty trained) 5 yrs. Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender Male Female

Birthdate

T-Shirt Size (Youth & Toddler Sizing) 4T X-Small (4/5) Small (6/8) Medium (10/12) Large (14/16) X-Large (18) Other

Allergies

Medical Conditions

Other Concerns (behavioral, emotional, etc...) Is there anything else you would like our team to know about your child? What is your child interested in?

Parent/Guardian Information

Parent/Guardian's Name

What is your relationship to the child(ren)?

Mother Father Legal Guardian Grandparent Other Relative Family Friend

Address

Phone

Secondary Phone

This address will receive a confirmation email

List up to four people authorized to pick up the child(ren) (first and last name). Anyone picking up must be listed as an authorized person and will be required to show proof of identity when doing so.

Emergency Contact Information

Name of Emergency Contact

Phone

Relationship to Child(ren)

Emergency Release Form

Emergency Release Form: I give my permission to the staff of Family Worship Center to seek medical attention for my child(ren) if necessary while participating at FWC's What A Mess Kid's Camp. I understand that all necessary precautions will be taken for my child(ren)'s safety. I will not hold the church, church staff or church volunteers liable.

I agree

Payment

Cost for one child registration is $25. Cost for second child is $20. Cost for 3+ children is $15 each. There is a 3% card processing fee added for paying online.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

What A Mess! - Kid's Camp 2026 Registration

Description

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