Youth Week Camper Registration

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Please have immunization records and an insurance card ready in order to complete this form.

Camper Information

Church name *

Camper name (first, middle, last) *

Gender *

Male

Female

Date of birth *

YYYY

Age at time of youth week *

Grade completed *

T-shirt size *

(adult sizes)

Other:

Harvey Cedars Bible Conference may use photos taken by photographers during youth weeks in brochures and social media. Please check below if you would prefer us not to use photos containing the camper.

I would not like HCBC to use photos containing the camper

Please have the camper read the following and check as an agreement.
*

I, the camper, promise to abide by the rules established for Youth Weeks at Harvey Cedars Bible Conference.

I, the camper, understand that my parent(s) will be contacted and I may be sent home, without refund, if the rules are disregarded.

I, the camper, am responsible to pay for damages to facilities or private property.

I, the parent or guardian of the camper, give permission for church staff and counselors to accompany my child on any off-site trips, including, but not limited to, a hospital or doctor's office as needed.

Required

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