Overcomer kids summer camp registration

Location
'OMazing Summer Camp Location *
Camper #1 Information
Camper Name *
Camper Name
Address *
Address
Camper's Birth Date *
Camper's Birth Date
Parent/Guardian 1 *
Parent/Guardian 1
Phone *
Phone
Work Phone
Work Phone
Parent/Guardian 2
Parent/Guardian 2
Phone
Phone
Work Phone
Work Phone
Medical Information
Address *
Address
Phone *
Phone
Address *
Address
Phone *
Phone
*Note: Please submit a copy of insurance card to okids@wocconline.org
Health History
Mark all that apply @ provide copies of immunizations to okids@wocconline.org)
Allergies
*All medication sent to camp must be given to the camp director and labeled clearly with doctor's instructions
*All medication sent to camp must be given to the camp director and labeled clearly with doctor's instructions
Child Release Authorization
Name *
Name
Phone *
Phone
Camper #2 Information
Camper Name
Camper Name
Address
Address
Camper's Birth Date
Camper's Birth Date