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Women's Conference 2024
June 8th, 2024
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Email
*
Your email
Participant Name (First and Last)
*
Your answer
Age Range
*
Under 25
25-35
35-45
45-55
55+
Do you attend church?
Yes
No
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Phone Number
*
Your answer
Email Address
*
Your answer
Street Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Do you have any allergies/dietary restrictions?
*
Yes
No
List any allergies/dietary restrictions
Your answer
Please list any physical conditions which may hinder full participation in camp programming
Your answer
I hereby approve and confirm his or her participation, and release Canoe Cove Christian Camp Inc., its Directors, the management, staff, agents, employees, or any persons associated with Canoe Cove Christian Camp Inc., from any claim or action for any injury or injuries that may be received by the said child while attending Canoe Cove Christian Camp, and/or any normal camp activities associated with Canoe Cove Christian Camp including those off of the property of Canoe Cove Christian Camp.
I agree to permit the reasonable use of photos and videos or other pictures of applicant camper in promoting the camp or camp activities or programs.
*
I Agree
How will you be paying?
*
E-Transfer (
thecove1950@gmail.com
)
Cash
Cheque
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