Girls Summer Camp

Name: Girls Summer Camp
Start: 2022-06-23T08:00:00-05:00
End: 2022-06-25T15:00:00-05:00
Location: Girls Summer Camp

June 23 @ 8:00 am - June 25 @ 3:00 pm

Free

Personal Information
Parent/Guardian’s Last Name*
Parent/Guardian’s First Name*
Parent/Guardian’s Last Name 2
Parent/Guardian’s First Name 2
Address*
City*
State*
Zip*
Home Phone*
Work Phone*
Cell Phone*
Parent/Guardian’s Email Address*
Girl’s Last Name*
Girl’s First Name*
Girls Age*
Shirt Size*
Grade (going to)*
DOB*
Emergency Contacts
Contact Name*
Relationship To Girl*
Work Phone*
Cell Phone*
Contact Name*
Relationship To Girl*
Work Phone*
Cell Phone*
Parent / Guardian Permission
I give full permission for my daughter/girl in my care to attend and participate in the Youth Leadership Conference activities. I agree to drop my daughter off on time and pick her up promptly at the end of each day.*
- Yes
- No
I give full permission for Susanna Haynes Enterprises, INC to use any photographs, films, and/or sound recordings in which my girl appears for publicity purposes, now, and anytime in the future.*
- Yes
- No
Signature*
Special Instructions / Authorization To Pick Up
Authorization To Pick Up My Daughter

Girls Summer Camp; Southeastern Technical College
Vidalia, GA United States + Google Map
Phone:: 912 293-6044
Website:: https://susannahaynes.org