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Junior Police Officer Summer Camp Registration


  1. 1. Step One
  2. 2. Page 2
  3. 3. Page 3
  • Step One

    2. Camper Application and Liability Release Form

      Please complete all sections of this form and return to the Murfreesboro Police Department, 1004 N Highland Ave. as soon as possible. Space is limited and campers are selected on a first come, first serve basis. A $50 application fee will be required and can be paid the first day of camp. All campers MUST have a completed set of forms on file or he/she may not attend. Do not send money or medication with your child for them to take during the course of the day. Necessary medication must be administered by a parent or guardian either before or during camp hours. 

    3. Camper Information:
    4. Parent/Guardian Information:
    5. Pick-Up and Emergency Contact:

      No child will be allowed to leave the day camp with anyone other than the parent/guardian or a person on this authorized pick-up list. The following are authorized to pick up my child or to be contacted on my behalf in an emergency. Please select at least one emergency contact not listed above.