ADEC Summer Camp Registration

ADEC SUMMER CAMP June 16- August 1, 2014

School Age Children: Monday through Friday 9:00A.M. to 3:00 P.M.

Child's Identification
Parent/Guardian Identification
Emergency Person #1
This person should be a local person who may be notified in case of emergency or illness when the parents are not available
Emergency Person #2
This person should be a local person who may be notified in case of emergency or illness when the parents are not available
Emergency Person #3
This person should be a local person who may be notified in case of emergency or illness when the parents are not available
Medical Information
Physical Needs Information
Child's Information
Camp Information
Camp will run from 9:00 A.M. to 3:00 P.M. Please Arrive at those times to allow staff time for preparation. Fee for camp is $50.00 a week.
Emergency Medical Treatment
Travel Authorization
Picture Release

ADEC, P.O. Box 398, 19670 S.R. 120, Bristol, IN 46507 | TEL: (574) 848-7451 | Contact Us

©2011 ADEC Inc.  Read our privacy policy. Site by LightSky.