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Bay Point Church Boot Camp Registration
June 10-14
Event Address: Bay Point church
209 Palm Avenue
Nokomis, FL 34275
Contact us at (941)488-4137 or
krguerre@gmail.com
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Email
*
Your email
Child's name
*
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Grade completed
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Age
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Parents' names
*
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Home address
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City/state/zip
*
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Email
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Phone
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Emergency contact
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Relationship to child
*
Your answer
Siblings attending Boot Camp ( names & ages)
*
Your answer
People who may pick up the child
*
Your answer
I hereby grant the Boot Camp leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this program.
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Church affiliation
*
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Dietary restrictions
*
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Other:
I understand that I will have to pay $35 upon arrival
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