FAMILIES OF SLAIN CHILDREN, INC.

Upcoming Events

Parents/Guardians and Emergency Contact

Liability/Waiver

FOSCI Summer Camp 2022

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FOSCI Summer Camp 2022

FOSCI Summer Camp 2022
All day
06/30/2022
RSVP
FOSCI Facility Location
2212 N. Myrtle Avenue, Jacksonville, Florida 32209
– Step 1 of 2
FOSCI's Summer Camp Registration 2022FOSCI's Summer Camp Registration 2022 Complete one (1) form for each child, ages 8 through 17, attending Families of Slain Children, Inc. (FOSCI) Summer Camp. Fun activities include team building, swimming, bowling, and more. Contact Crystal or Nikki at 904-683-4986 for more details.
Date
Childs's Name *
First
Last
Address
Address Line 1
Address Line 2
City
State
Zip Code
School Name
Enter the School Name of the last school attended.
Grade *
What grade is your child in?
Date of Birth (DOB) *
Age
Enter your child’s age.
Allergies and Medical Conditions
Please list child’s allergies or medical conditions, including medications that must be taken during Summer Camp time frames. If none, please enter N/A.
Parents/Guardians and Emergency Contact
Mother's Name *
First
Last
Mother's Phone *
Father's Name
First
Last
Father's Phone
Emergency Contact (If parent(s) are not available) *
First
Last
Emergency Contact Phone *
Liability/Waiver
I understand that my child's (name listed above) participation in FOSCI's Snack and Chat Program are voluntary; and that my child and I are free to choose not to participate. I consent to my child's participation in the activity stated above. I understand that FOSCI, their employees, volunteers, officers, contractors, and agents will not be liable for personal injuries and/or property damage because of my child's participation in such programs. In the event of an emergency, I hereby certify that I am the parent/lawful guardian of the child named above, and grant to FOSCI, it's employees, volunteers, contractors, and agents full authority to take whatever actions they may consider appropriate under the circumstances involved refarding the health and safety of my child and authorize them to obtain emergency medical or dental services for my child if necessary, at my expense.
Parent's Signature *
First
Last
Parent name can be typed and serves as an electronic signature.
Date *
(copy)*Note by signing this agreement, I acknowledge that I have read and understand this documen and accept the risk and responsibility of my child's participation in all FoSCI programs and activities. I hereby provide permission for my child to receive an after school snack and homework assistance from FOSCI. I on behalf of myself and minor child agree to relaease, hold harmless and indemnify FOSCI, their volunteers, contractors, employees, officers, and agents from any loss, cost, damage, and/or expense of any nature, including all attorney's fees and cost which I or my child may incur as a result either directly or indirectly from my child's participation in FOSCI's Snack and Chat Program.
Parent's Signature *
First
Last
Parent name can be typed and serves as an electronic signature.
Date *
Message