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Summer Bible Bash 2021
CAMP COURAGE REGISTRATION
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July 24th, 2021 ~ 9am - 4pm ~ Ages 3-12
Participant Name (please complete a registration form for each child attending)
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Your answer
email address
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Your answer
Phone number of parent/guardian contact
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Your answer
Call or Text
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Emergency Contact Names & Number(s)
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Mailing Address
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Age
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Grade in school 2021-2022 School Year
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T-Shirt size
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We will be taking photos and short video clips throughout this event. Do we have permission to use these images on social media and our web page. No names will be used.
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Yes
No
Please list any health concerns or allergies to medications.
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Your answer
I understand that I am not to send my child if they are running a fever, have ANY symptoms pf ANY contagious illnesses or conditions, if anyone in the household is quarantining or if they are awaiting a test for a contagious illness.
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Yes
I understand that my child will be at play, having fun and getting messy.
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Yes, I have dressed my child for a lot of fun!
Please list the names and phone numbers of those allowed to pick up my child:
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I agree for my child to attend and participate in the Carthage United Methodist Church's 2021n Summer Bible Bash.
Yes
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