Sr. High Camp Registration

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Event Timing: July 3rd - 5th, 2024

Event Address: Machaca Outreach Center
Contact us at +501 629-1319 or ericsonbaltazar78@gmail.com

Camper's Name *

Camper's Phone/WhatsApp # *

Camper's Home Address *

Camper's Gender *

Male

Female

Camper's Age *

Camper's Birthdate (DD/MM/YYYY) *

Does Camper have any Allergies or illnesses that we should know about? If so, please list below. *

Dietary restrictions *

None

Vegetarian

Gluten-free

Other:

Camper Agreement: I promise as a camper at Machaca Summer Camp, that I will respect the staff and obey all camp rules. I also promise to get involved in all camp activities and have fun while I'm there. I realize that if I fail to follow the rules, disrespect staff, or disrupt the camp experience I may be dismissed from camp. *

Yes, I understand and agree

I understand that I am not allowed to bring any of the following items to Machaca Summer Camp:

Guns/Knives/Weapons of any kind

Drugs or Alcohol

Phone/Ipod/MP3 players

Immodest Clothing

Bringing any of the above items will mean an immediate dismissal from camp. If items brought by the camper are illegal, such as weapons or drugs, we will get police involved.

I understand and will not bring any of these items to camp with me.

Required

I understand that campers are not allowed to leave camp unless an emergency occurs. If a camper must leave for any other reason, they must bring a written consent form from a parent or guardian giving them permission to leave.

In such cases, the parent would be responsible to arrange any extra transportation the child would need. We will be unable to provide any extra rides.

Yes, I understand and agree.

Required

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