Music Camp Registration

Eligibility

          

This camp is open to children who have completed at least the 1st grade through the 6th grade.

       

Note:  the simple math problem at the end of the form is an anti-spam feature, and you must answer the problem to submit the form.

      

Terms

     

I hereby release First Baptist Church Springfield (FBC) from all liabilities should my child be injured. I understand that my child must be signed in and out each day by an adult, and that my child must be picked up on time at the conclusion of camp. I have provided the camp staff with an emergency contact number where I or another adult may be reached. Should my child be injured I give FBC permission to seek treatment for my child. Additionally, I authorize FBC to use pictures and or video clips that include by child for the promotion of future events.

         

Phone Number Notice:

    

You have two options for formatting your phone number:
1. (703) 451-1500
2.  703-451-1500 (no spaces)

If you do not format the number correctly, a red asterisk will appear beside the field, and you will not be able to submit the form.

         

        
Note: if you are not redirected to another page confirming your registration, then your information has not been submitted. Make sure all of the required fields have information in them. Contact the Church office if you are having trouble with this form.