Personal Information:
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First Name
Last Name
Email
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Phone
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(###)
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Alternate Parent/Guardian Name
First Name
Last Name
Phone
(###)
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Tell us about yourself
Primary Emergency Contact Name
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Not Parent/Guardian listed above
First Name
Last Name
Emergency Contact Phone
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(###)
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Preferred Physician
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Name/Practice
First Name
Last Name
Preferred Physician Phone
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(###)
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Preferred Dentist
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Name/Practice
First Name
Last Name
Preferred Dentist Phone
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Name/Practice
(###)
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Referred by:
Let us know if someone told you about us so we can thank them
Electronic Signature 1 of 4
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By my electronic signature below, I hereby give permission for my child to be videotaped or photographed for use by Kids of the King Productions, LLC (this may include publication in the local newspaper, church social media, and website)
I am aware that if my child exhibits inappropriate behavior, they may be asked to leave the camp at the discretion of the Kids of the King Productions staff and management.
I understand that fees are payable with the registration, that my child's registration is not valid until fees are paid, and that fees are non-refundable.
Electronic Signature 2 of 4
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In case of an accident or illness where treatment is not needed, but my child is unable to remain at camp, I request the camp to contact me. If I am unable to be reached, I request that the emergency contact listed above be contacted to care for my child until I am available.
In the event of a serious accident or illness, I request the camp to contact me at the phone number listed. If the camp is unable to contact me, I authorize the camp to contact the physician or dentist indicated and to follow his/her instructions. If it is impossible to contact these, the camp may make whatever arrangements are necessary to secure emergency care and treatment for my child.
In the event of a life-threatening accident or illness, I understand that the camp may contact 911 emergency medical system immediately. I agree to be financially responsible for my child's care and treatment.
Electronic Signature 3 of 4
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By my electronic signature below, I do hereby state I am the parent or guardian of the child named on this form. To expedite the care of this child, I give my permission to the appropriate medical personnel and state to initiate treatment immediately upon arrival at the appropriate facility. I agree to be financially responsible for this child's treatment. I also request that I be notified of my child's condition and admission as soon as possible. If I am unable to be reached, I request that the admitting facility notify one of the other persons listed above of my child's condition and admission.
To expedite the care of this child, I hereby give my permission for the responding emergency team to immediately initiate treatment and transport of this child to the preferred or appropriate medical facility, according to what they deem indicated by the nature or extent of the injuries. I agree to be financially responsible for this child's treatment, including transportation. I will notify the camp of any changes to this information in writing.
Electronic Signature 4 of 4
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Learning a musical, complete with dialogue, music, and movement in one week is a giant undertaking. We have a jam-packed schedule to keep us on track. With that, there is plenty of fun to be had. But we do require focus and attention from our Campers.
We have determined the use of cell phones, smartwatches, and any other communication devices by Campers and Teen Volunteers will not be tolerated during Camp hours.
If you feel your Camper must have a cell phone, it will remain in their backpack which will be placed in their Camp Tote. It must be TURNED OFF during Camp hours. Camp Totes will be kept safely with our Administration staff during Camp hours. Requests to use the phone will be screened and the conversation monitored.
If there is an emergency and you must speak with your child, please call Becky Abu Rameh at 407-257-3466, tell us the name of your child and the reason you are calling. Your child will be able to speak with you.
If your Camper did not turn in their phone at the start of the day and is found using it, it will be confiscated. Confiscated cell phones will be turned in to our Administration staff and parents will be informed and required to come into the building to pick up your Camper and their phone at the end of the day.
Teen helpers must turn in their phones each day and abide by the rules stated above. Teens may check their phones at lunch. If you are glued to your phone, this might not be the place for you.
We have read and understand the KOTK Cell Phone Policy. As a parent AND camper(s), we agree to abide by these rules and to support the decisions of the KOTK Staff.
