Attendee Name:


Parent Name:

Parent Name:

Home Phone Number:

Work Phone Number:

Cell Phone Number:


E-mail Address:


Mailing Address:


Child's Birthday (mm/dd/yyyy):


Grade Entering September 2009:
1  2  3  4  5  6 7 8

   Male Female

T-Shirt Size (included in reg. fee - select one):

Child:  Small   Medium Large
Adult:  Small  Medium Large  XL  XXL

Describe allergies or physical limitations of which we should be aware:

Please list those persons who are authorized to pick up your child:

Parent Signature: I give permission for my child to be photographed for use by FUMC, Irving (Select Yes or No here in lieu of a written signature.))

    Yes   No
 

 

Payment:

Register for FAME Camp below. One child per form. (scholarships available)

Checks should be mailed or delivered to the church in the amount of $35.00 per child not to exceed $70.00 per family.

Contacts:

 

Susan Smith
susan@fumcirving.org
Director of Music Ministries
Phone: (972) 253-3531

 

Dalenna Mussett
dmussett@msn.com
FAME Director
Phone: (972) 841-3697