Skills Camp 2026
July 20-24 from 9:00 am- noon each day | Please fill out this form for each child you are registering ages 4-14.
Child's Name
*
Child's Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Child's Age (at time of Skills Camp)
*
Please select one option.
4
5
6
7
8
9
10
11
12
13
14
Select Option
4
5
6
7
8
9
10
11
12
13
14
Child's Last Completed Grade
*
Please select one option.
No School Yet
Preschool
Kindergarten
Ist grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
Select Option
No School Yet
Preschool
Kindergarten
Ist grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
Dietary restrictions/Special needs/Medical information/Other
Skills Camp Focus (choose one)
*
Please select one option.
4-5 year old (variety of skills)
Art
ASL (American Sign Language)
Fun with Food
Gymnastics/Cheer
Sports
12-14 year old (leaders in training)
Parent/Guardian Name (first and last)
*
Parent/Guardian Email
*
This address will receive a confirmation email
Parent/Guardian Phone
*
Parent/Guardian Address (if different from child's)
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Name of person(s) who may pick up this child from Skills Camp (including self, if applicable)
*
Emergency contact name & phone number (if different from parent/guardian named above)
Photo Release
*
Please select all that apply.
I authorize publication of my child(ren)’s photo via the Pleasant View Church website, Facebook page or other publications
I do not authorize publication of my child(ren)’s photo via the Pleasant View Church website, Facebook page or other publications
Please read the
Activity Waiver Form
before signing below.
I have read the Activity Waiver Form
*
Please select all that apply.
Agree
E-Signature
*
Submit
Description
July 20-24 from 9:00 am- noon each day
Please fill out this form for each child you are registering ages 4-14.
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