FCA Kids Camp Registration-July 11-15, 2022
Sand Hill Lake Bible Camp
1046 250th Ave Fosston, MN 56542

Lead Director: Pastor Rebecca Haapanen 218-590-8568
Admin:  Kate Larson 218-277-0737

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Email *
Registration Cost: *
I understand that PAYMENT MUST BE MADE by the dates listed above, TO THE CHURCH LISTED ABOVE, OR TO SHLBC DIRECTLY (list students first and last names in memo of check or separate paper (please state which camp as well)) in order to receive the price that I am registering for. MY REGISTRATION IS NOT COMPLETE WITHOUT PAYMENT. In order to complete my camper's registration and secure them a spot in a cabin is 1. REGISTRATION MUST BE FILLED OUT NOW - AND 2. PAYMENT MUST BE MADE BY THE DATES ABOVE. This is my electronic signature
COVID STATEMENT: we are abiding with current Minnesota guidelines.
Camper's First Name *
Camper's Last Name *
Birth Date *
MM
/
DD
/
YYYY
Gender *
Street Address: *
City: *
State: *
Zip: *
Grade Entering In The Fall? *
Is this your first time attending this camp? *
Home Church *
Church You Will Be Giving Your Payment To *
Guardian/Emergency Contact #1 First & Last Name *
Guardian/Emergency Contact #1 Phone Number *
Guardian/Emergency Contact #1 Email Address *
Guardian/Emergency Contact #1 Relationship To Camper *
Guardian/Emergency Contact #2 First & Last Name *
Guardian/Emergency Contact #2 Phone Number *
Guardian/Emergency Contact #2 Email Address *
Guardian/Emergency Contact #2 Relationship To Camper *
Medical Insurance Provider *
Medical Insurance ID # *
Dietary restrictions *
If you answered other to above question, please explain below
Will your camper need to be given medicine at camp? *
If answered yes to above question please give name of medicine and dosage
I give permission for my child to be given medicine by nurse or other authorized personnel.                              This is my electronic signature
Special Needs or assistance
Does your child have permission to have their photo taken for promotional materials? *
List 1 to 3 Roommate Preferences.
Any Additional Information You Would Like Us To Know?
All campers must sign Liability waiver and bring to camp.                                                                                               Liability Link: https://s3.amazonaws.com/media.cloversites.com/ec/ece3228c-a0ed-459c-86e7-c2b0bee7eef1/documents/Release_of_Liability_-_SHLBC.pdf *
I understand that I need to make  arrangements to pay my church. *
Required
Congratulations, your child is registered for camp 2022! Here is the packing list!                                      Packing List link:      https://docs.google.com/document/d/1Gzy8K9F1wvKPXkUIOZc6FhVTVLVhxl6brMzQ7J_JhDg/edit?usp=sharing *
Required
A copy of your responses will be emailed to the address you provided.
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