Cornerstone Church 2010 SUMMERCAMP REGISTRATION!

	Parent or Guardian :
	Street Address
	City, State Zip
	Email Address:
	Home Phone:
	Child Name:
	Child Age:
	Child Grade:
	My Child is Interested in the following camps:
	Archery  Fishing Frenzy  Growing Confidently  Young Scientists  Music and Melody  Pony Care  Soccer  Crochet Blast
	Questions?
	I   (Parent/Guardian Name), give my children, listed above , permission to participate in all camp activities sponsored through Cornerstone Church I will not hold Cornerstone Church or its staff liable for injury or accident to my child while at camp. I give permission to the staff to obtain necessary medical attention in case of sickness or injury to my child(ren).