First UMC Day Camp Registration
This totally awesome day camp is located at  First United Methodist Church
225 E Arrow St
Marshall, MO

Camp is July 22-26, 2024 , 9 AM- 4 PM

Contact Lacie Varner with questions: lacievarner1@gmail.com

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Click the link below to be taken to the payment form. The cost of camp is $85 per camper. You will have to select "camp" where it says "fund" and type in $85 for the amount.  The cost for crew is $30. If you pay before April first, the cost is $75 for camper and $20 for crew https://app.easytithe.com/app/giving/Firs9999804 *
Student's last name *
Student's first name *
Address (house number, street, city, state) *
Date of birth *
Student's age during camp *
Camper t-shirt size
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Parent/guardian name (Last, First) *
Parent/guardian cell *
Parent/guardian email *
People with permission to pick up ( a valid ID will be required when picking up) *
Media Release:  I hearby give my permission for First United Methodist Church of Marshall to use photos and videos of my child/children in church publications, including brochures, newsletters, the church website, and social media. For reasons of privacy, no personal information, including name, may be printed with any photos.   I understand that there will be no remuneration for the use of these pictures.    
(Type your name to authorize. If not, please leave blank ).
AUTHORIZATION AND CONSENT TO TREAT A MINOR:  The undersigned do hereby authorize FIRST UNITED METHODIST CHURCH, IT’S AGENTS, EMPLOYEES and VOLUNTEERS or such substitute as they may designate as agent for the undersigned to consent to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment and hospital care for the above minor which is deemed advisable by and to be rendered under the general or special supervision of any licensed physician, surgeon, or dentist, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, camp, or elsewhere.  Further, we give permission for the above minor to participate in all regular activities or programs of First United Methodist Church, ITS AGENTS, EMPLOYEES and VOLUNTEERS. Said First United Methodist Church, ITS AGENTS, EMPLOYEES and VOLUNTEERS are hereby released and relieved from all liability for accident or injury arising from any and all activities.  This authorization will remain effective while the above minor is en route directly to or from or involved or participating in any program or activity of First United Methodist Church unless revoked in writing by the undersigned, and delivered to First United Methodist Church      
Electronic signature of parent/guardian
Do you give permission to First United Methodist  to administer First Aid treatment to the student listed above if necessary?
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Date
Please list allergies and food restrictions below
Name of family physician *
Physician phone number *
Medical insurance plan *
Medical insurance policy number *
Contact person if I cannot be reached
Name (Last, First)
Contact's phone number *
Contact's relationship to child
Questions, comments, or additional information
Please read the discipline policy below with your child. 

Marshall First United Methodist Church 

Day Camp Discipline Policy and Procedure 

At First UMC, we strive to provide a fun, safe, and secure environment. In order to ensure the quality of this program and safety of the campers, each camper must follow the general rules. The following procedures will be followed when children break camp rules. 

Depending on the severity and frequency of behavioral issues, one or more of the following actions will be taken: 

-A verbal warning from staff or volunteers 

-Time out from activity, and phone call made to parent/guardian 

-Suspension or expulsion from program with no refund 

Please read the following information to your child to be sure all rules/procedures are understood. First UMC Day Camp reserves the right to suspend or expel any camper from the program for unruly or dangerous behavior, whether or not all of steps in our discipline procedure have been completed. 

General Rules of Day Camp

Love your Neighbor (be kind, forgiving, and encouraging— treat others the way you would like for them to treat you)

Leave places better than you found them

Stay with your group



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