Summerama 2024 - River of Life Worship Center

Choose the year that your child is going into in the fall.

Parent/Guardian Name*
First Last
Please list all names of children with their ages and grade level going into [1 per line]*
Phone*
Address
Street Address Address Line 2 City State ZIP Code
Email*
Home Church
Please list all allergies and medical information:*
Please list 2 emergency contacts with their phone number:*
How did you hear about Summerama?
*Available in Nicholson
Will your child need transportation?
- yes
- no
Medical Waiver
I give permission for my child to participate in classes and/or activities at River of Life Worship Center. I authorize the volunteers and staff to administer emergency medical first aid treatment, or to call for emergency medical response. (If no, parent will be required to stay with child at all times)
- Yes
- No
Media Release
I give permission for my child's photograph/video to be used on the River of Life Worship Center's website and other social media outlets.
- Yes
- No
CAPTCHA