Cook and Grow Registration

This camp is full. Sorry.

Cook 'N' Grow Camp
Registration 2015
June 15 - 18 (Mon - Thurs)
9:30 a.m. to 11:45 a.m.

3rd through 6th grade (fall 2015)

Led by our local Master Gardener, Patsy Bredahl, and other Williamson County Master Gardeners

Free limit: 20 campers (full)

learn about gardening, plants, soil, and care for God's world

This Camp is now full, sorry.

Complete Form and Hit Submit Below

Camp is now full, sorry. *

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Age/Grade *

Guardian(s) *

Address *

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Your Additional Children (name, age/grade) *

In case of needed emergency medical treatment, I hereby give permission to the physicians selected by the staff of Hutto Discovery UMC (HDUMC) or his designee to provide and to secure treatment for my child. I further authorize Seton Medical Center Williamson and all other medical facilities providing treatment to release pertinent information to HDUMC staff for the purpose of parental/guardian notification. I recognize the natural risks of injury or disability inherent in my child’s participation in HDUMC’s camp program, and hereby assume the risk of injury that could result from these activities. I release HDUMC, Williamson County Master Gardeners, and the Central Texas Conference of the United Methodist Church and the employees and volunteers of all such entities from liability for injury to my child from participation in these and other programs. I give my permission for my child’s photo(s) to be utilized at the discretion of HDUMC which includes their website. However, I understand no names will be used with the photographs.

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Name of person completing this form *

Date of form completion *

Insurance Company *

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Insurance ID # *

Secondary Emergency Contact (Name and Number) *

Allergies, Medical Needs, Notes for Staff, Questions *

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