Student Camp Registration 2023
Student Winter Camp
Friday, February 24 to Sunday, February 26, 2023
Cost:$225 per Child
Child's Name
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Child's Date of Birth
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School Grade
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-- None --
Nursery/Pre-school
Kindergarten
1
2
3
4
5
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7
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12
Note any allergies, medications, or anything else your child may need or we should be aware of.
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Parent/Guardian Name
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Parent/Guardian Phone Number
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Parent/Guardian Email Address
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Other Emergency contacts. Please list Name, Phone, Email
By checking the below box, you agree that you are a Parent or legal guardian of the above child/children and that all the information is correct.
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General, Medical, & Photo Release Parents/Guardians: Please note - By agreeing to this release, you are confirming that you are a parent or guardian of the above child(ren). If this release is not agreed upon, your child(ren) will not be able to participate in ANY activities or events. This release is valid until redacted in writing by the parent/guardian. The participant is responsible for his or her own conduct and is aware of and agrees to abide by Church standards, camp or event safety rules, and other pertinent instructions. Parents and participants should understand that participation in an activity is not a right but a privilege that can be revoked if they behave inappropriately or if they pose a risk to themselves or others. Parents will be responsible for picking up their child(ren) from the camp site if necessary. Release: To the fullest extent permitted by law, I release Community of Hope Church, its trustees, officers, directors, employees, agents and representatives from any illness, injury, harm, damage or death which may occur to my minor child while participating in the event and agree to save and hold harmless Community of Hope Church, its employees, volunteers and representatives from any claims arising out of my minor child’s participation in the event. General: I give my consent for my child(ren) to attend meetings, activities and events onsite and offsite. Medical: In the event of a medical emergency and when a contact cannot be made to me and/or the emergency contact listed, I give my permission for my child(ren) to receive appropriate medical attention. In the event of an emergency or accident, I release Community of Hope Church, its employees and volunteers, and all those related to it, from any liability. I have provided emergency contacts and am assured that I will be contacted as soon as possible in the event of an emergency. In the event of a serious and immediate emergency, I understand 911 will be called to transport my child to a hospital for emergency medical or surgical treatment and understand that I am responsible for all charges associated with this transport and treatment. Photograph release: Photos may be taken during the event. I grant permission for Community of Hope Church to post photos including my child(ren) on its website, social media or in other church publications.
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