Next Level 2024 Registration & Liability Release
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Email *
Name of Church: *
Camper's Last Name: *
Camper's First Name: *
What is your campers T-Shirt size? *
Are you filling out this form for a Camper (under21) or an Adult Sponsor (over 21) *
Child Protection Training Certificate
 *
I understand that if I am an Adult Sponsor (over 21), I must also provide a paper copy of the appropriate Child Protection Training completion certificate (required by the Texas Department of State Health Services) at camp registration or to Camp Leadership for EACH camp I attend.
Required
What is the participant's full address? (Including Street, City, State, zip) *
Participant's Date of Birth:
What is the camper's/sponsor's date of birth?
 *
MM
/
DD
/
YYYY
Age :

 *
Participant's Gender: *
Is the Participant a Christian? *
Parent's/Legal Guardian's Name (First & Last): *
Relationship: 
Please provide parent or guardian's relationship to camper
 *
Parent's/Legal Guardian's Cell Phone: *
Parent's/Legal Guardian's Home Phone: *
(Type N/A if applicable)
Parent's/Legal Guardian's Work Phone: *
(Type N/A if applicable)
Parent's/Legal Guardian's Email: *
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