Join us for Velocity Kids Camp this July 10th -13th from 6:00pm-8:00pm! We will have classes for ages 4 years old through 6th grade. This year we will be journeying to mid-evil times to learn about our identity in Christ! Our last night of Kids Camp will be a Family Fun Night! Bring the whole family out to enjoy hot dogs, crafts and games!

Kid's Camp Registration

Please fill out this form separately for each child you are registering.

Child's Name *
Child's Name
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Phone *
Phone
Child's Date of Birth *
Child's Date of Birth
Emergency Contact 1 *
Emergency Contact 1
Phone *
Phone
Emergency Contact 2
Emergency Contact 2
Phone
Phone
Nam(s) of person(s) who may pick up this child from Kid's Camp
Liability Release *
In consideration of the acceptance of my application for the above program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Velocity Church, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.
Treatment Consent *
I hereby give my consent to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above activity. It is understood that Velocity Church will provide no medial insurance for such treatment, and that the cost thereof will be at my expense.
Photo Release
I hereby authorize Velocity Church to publish the photographs taken of me and/or the undersigned minor children, and our names, for use in the church website and for display in the facility. I release Velocity Church from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Velocity Church to use their photographs and names. I acknowledge that since participation in publications and websites produced by Velocity Church is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Velocity Church confers no rights of ownership whatsoever. I release Velocity Church, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.