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Creation Kidz Camp
July 24-25, 2023
(going into) 1st-5th grade
All Camp forms and monies ($50) are due by June 23.
CK Camp Address:
Houghton Lake Travel Park
370 Cloverleaf Ln
Houghton Lake, MI 48629
Contact Pastor Charity Thompson (989) 965-3493 for any questions.
*This camp is for CK registered children only*
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* Indicates required question
Child's first and last name
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Your answer
Age and grade of child at the time of camp.
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Your answer
Gender of child
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Female
Male
Parent/Guardian Names
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Your answer
Address where the child currently lives (Street and City)
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Your answer
Contact Name #1
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Your answer
Phone Number #1
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Your answer
Contact Name #2
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Your answer
Phone Number #2
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Your answer
Is your child staying the night?
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Yes, I want my child to stay the night.
No, I do NOT want my child to stay the night.
Required
Is your child swimming?
Yes, my child is able to swim.
No, my child is NOT able to swim.
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Dietary restrictions
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None
Vegetarian
Vegan
Gluten-free
Allergies
Other:
T-shirt size
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Y-XS
Y-S
Y-M
Y-L
Y-XL
Other:
Media release (newspaper, Facebook, church website)
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Yes
No
My child has medications and health concerns that I would like you to be aware of:
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Your answer
I understand that if my child breaks any safety or Creation Kidz guidelines rules I will come and pick him/her up. (please follow this link to read our CK Expectations:
https://docs.google.com/document/d/1mYLfTyneuq9VdT-bsmRyvBL4LoQiwJTCmFSIBT-Z7Rc/edit?usp=sharing
)
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Yes, I understand
I understand that if my child is hurt I will get a call immediately to proceed with any medical care the child may need. (Creation Kidz is not responsible for any medical care that needs emergency attention.)
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Yes, I understand
By clicking "yes , I understand", I give permission to Creation Kidz program from Houghton Lake Wesleyan to be responsible for my child's needs and care.
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Yes, I understand
I understand that I will have to pay $50 by June 23.
*Checks and money can be send to
Houghton Lake Wesleyan Church
5599 w. Houghton Lake rd
Houghton Lake, MI 48629
*HLWC office is open W-F 9am-3PM
*Please contact Pastor Charity if you need another time to drop off money.
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Yes, I understand
I would like Pastor Charity Thompson to contact me about financial assistance.
Required
Please fill in your name as a signature here. Please date as well.
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Your answer
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