ACC Kids Summer Meet-Ups
7/9 & 7/30 6-8pm | Please fill out this form and click submit.
PARENT INFO
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
--
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(REN) INFO
Please list your child(ren)'s name and grade(s) below.
Ex. Sarah- Pre-k
Child #1 Name & Grade
*
Child #2 Name & Grade
Child #3 Name & Grade
Child #4 Name & Grade
Child #5 Name & Grade
Select date(s) your child(red) will attend:
*
Please select all that apply.
7/9
7/30
Medical Info & Liability Waiver
This waiver is valid June 2025-May 2026. Waivers completed prior to June 1, 2025 are expired. Click link below.
www.auberry.church/waiver
Thank you for helping us provide the best possible care for your children while in our care! In accordance with our church's policies, which are in place to ensure we provide the best care for minors who are participating in our programs, we require parents/guardians to complete this online form each year.
I have completed the 2025-2026 Medical Info. & Liability Wavier
*
Please select one option.
Yes
No- I will complete right now!
Comments/Notes
Submit
Description
7/9 & 7/30 6-8pm
Please fill out this form and click submit.
×
Please Fix the Following