Children's Summer Camps

ONE FORM PER CHILD PLEASE
Ages: Entering 2nd grade through entering 6th grade

Camp fees are $75.00 per week
or $67.50 per week if 2 or more in a family
and includes a $25.00 non-refundable deposit

Questions? Email us at apcchildrenscommittee@apchumble.org

This box granting the permission shown below must be checked to proceed
I grant permission to Atascocita Presbyterian Church, its agents, and its employees the irrevocable and unrestricted right to produce photographs and video taken of my child, myself, and members of my family while at Children's Summer Camps 2026 for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium. I hereby release Atascocita Presbyterian Church and its legal representatives from liability for any violation or claims relating to said images or video. Furthermore, I grant permission to use the statements of my child, myself, or my family members given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right, my child's rights, and my family's rights to any and all compensation stemming from the use of these materials.

Select Camp(s) child will be attending (*Select at least 1):

Science Camp (June 09-11) - 29 spots remaining; Deadline is Jun 7, 2026

Music Camp (June 16-18) - 29 spots remaining; Deadline is Jun 14, 2026

Art Camp (June 23-25) - 30 spots remaining; Deadline is Jun 21, 2026

*Name:	*Birthdate:
*Address:
*City:	*Zip:
Home Phone: Format: 123-145-6789	*Cell Phone: Format: 123-145-6789
*Email:
*Parent/Guardian's Name:	*Phone: Format: 123-145-6789
Parent/Guardian's Name:	Phone: Format: 123-145-6789
*Emergency Contact:	*Phone: Format: 123-145-6789
Food Allergies (leave blank if none):
Medical Concerns (leave blank if none)
Adults/Youth (entering 6th grade or above) - Please sign up to volunteer:
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