M.A.D. (Make a Difference) Camp Registration Form

Fields marked with an * are required

Register each camper using the form below:

Camper Information

By entering my full name below, I am electronically signing my photo permission as indicated above for the registered camper.

Parent/Guardian Information

Additional Emergency Contact


The above registered camper has my permission to attend and participate in all Drama Camp Activities June 12-16, 2017.

By entering my full name below, I am electronically signing the permission form for the registered camper.

Photo Permission

During this camp, photos will be taken of campers throughout activities and events. You are receiving this request for your permission for your child’s photo/image and name to be published on minnetonkaumc.org and/or any other websites, newsletters, or public building spaces maintained, owned, and/or administrated by Minnetonka UMC. The law requires that we ask for your permission to use information about your child. Pursuant to law, we will not release any personally identifiable information without prior written consent from you as parent or guardian. Personally identifiable information includes youth names, age, grade, and photo or image.