Catalyst Registration 2024
July 12-14, 2024 Check-in begins at 3:00 pm on Friday and concludes after lunch on Sunday

Contact Camp Program Director with any questions - Angela Bray 651.235.7414
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Name *
Gender *
Date of Birth *
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Phone Number *
Email *
Address *
Home Church *
Dietary restrictions *
Please list all health concerns that we should be aware of as well as allergies or activity restrictions.  For all students under 18, all medications MUST be turned into the Camp Director upon arrival to camp, and be in original container with dosing information on label from prescriber.   *
EMERGENCY CONTACT INFORMATION -Please list 2 phone numbers *
Insurance Company & Policy Number *
For students under 18 years old: I give my consent for my child to attend camp and to participate in the programming, including activities like swimming, boating, hiking, etc. I will not hold the camp, personnel, or sponsoring organizations responsible beyond reasonable supervision. All activities are supervised by qualified adult leaders. I understand that if campers do not comply with rules and regulations they may be asked to return home at the cost of their parents. I give my consent for routine and non-surgical medical care, and if necessary, emergency medical or surgical treatment of my child, in the event I cannot be reached to give my consent. I understand my typed name constitutes my signature on this form. *
Catalyst is $100 *Registration will not be considered complete until the registration fee has been received. Registrations must be received by JUNE 15 *
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