Music & Arts Camp Registration

Please complete the registration form below.  For questions regarding registration please contact Nick La Rocca at nlarocca@ridgewoodparkchurch.org or 214.369.9259.

Information about the child








Parent Information

Parent 1






Parent 2






Emergency Contact Information




Persons authorized to pick up child (other than parents)

Please provide us with a written note at the beginning of the day if someone else will be picking up your child. Please let that individual know that they will need to have their driver license with them. This is to ensure your child's safety.

Person 1




Person 2




Camp T-Shirt

T-shirts are included with the cost of registration. Please select a size below.

By clicking "submit" you authorize Ridgewood Park UMC to seek necessary medical attention for your child in the event of an emergency.

* Required Field

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