Ridgeway Summer Day Camp

Join us on Saturday, June 24 from 9 a.m. – 2:00 p.m. for Ridgeway Baptist Church’s Summer Day Camp! Located in our Christian Life Center (CLC) at 2500 Ridgeway Road, Memphis, TN 38119

Enjoy music, arts and crafts, science experiments, Bible stories, recreation, free lunch, and more! Register below or call the Church Office at (901) 761-1110 for more information.

Open to all children who have completed kindergarten through completed grade 5.

Parent/Guardian Name *

Email *

Home Phone Number

Cell Phone Number

Address

Address Line 1

Address Line 2

City

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Zip Code

How many children would you like to register?

• 1
• 2
• 3
• 4
• 5

Child's Name #1 *

First

Last

Birthday (Child #1) *

Last Grade Completed in School? (Child #1) *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeOther

Child's Name #2 *

First

Last

Birthday (Child #2) *

Last Grade Completed in School? (Child #2) *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeOther

Child's Name #3 *

First

Last

Birthday (Child #3) *

Last Grade Completed in School? (Child #3) *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeOther

Child's Name #4 *

First

Last

Birthday (Child #4) *

Last Grade Completed in School? (Child #4) *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeOther

Child's Name #5 *

First

Last

Birthday (Child #5) *

Last Grade Completed in School? (Child #5) *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeOther

Do any of the children you registered have allergies *

• No
• Yes

Please list all allergies below. Be sure to note which child they apply to. *

Do any of the children you registered have any special medical needs we need to know about? *

• No
• Yes

Please list all special medical needs for each child below. Be sure to note which child they apply to. *

Emergency Contacts (Names and Phone Numbers) *

Dismissal – Who may pick your child up at the end of the day? *

Are you a member of Ridgeway Baptist Church? *

• Yes
• No

What church are you a member of?

Are you a guest of a Ridgeway Member? If so, who?

Do we have permission to photograph your child? *

• Yes
• No

May we use your child's photo for promotional purposes? *

• Yes
• No

Submit