Summer camp form 16 - Breslau Mennonite Church - breslaumc 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your child's name in the designated field, followed by their grade for September.
  3. Fill in the date of birth and health card number accurately to ensure proper identification and care.
  4. Provide your address, including street, city, and postal code, to facilitate communication.
  5. Enter parent or guardian contact information, including phone numbers and email for any necessary updates.
  6. Complete the emergency contact section with a name and phone number of someone who can be reached if needed.
  7. Indicate any severe allergies or medical conditions your child may have. If applicable, provide details about EpiPens or inhalers.
  8. Review the photo release section and provide consent if you agree to have your child's photos taken during camp activities.
  9. Read through the waiver carefully before signing. Ensure you understand the terms regarding medical treatment authorization.
  10. Finally, sign and date the form before submitting it via email, post, or in person at Breslau Mennonite Church.

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