Inspire Summer Camp
6pm - 7:45pm
Cost: Free
Date & Time
July 10, 2023 6:00 PM - July 13, 2023 7:45 PM
8 out of 97 remaining tickets available
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Inspire Camper
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Inspire Camper
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First Name
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Last Name
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Phone Number
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Date of Birth
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Mailing Address
Allergies
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Health Card Number
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Parent/Guardian Name
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Emergency Contact Name (if different than Parent/Guardian)
Emergency Contact Phone Number
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Email Address
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Does your child have any physical/emotional/behavioural concerns or limitations that we should be aware of?
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Do you consent to the reasonable taking of pictures/videos containing your child during the duration of camp?
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Yes
No
The safety of your child is our primary concern. Precautions are taken for the safety and health of your child. In the event that your child requires special medication, x-rays, or treatments, the parents will be notified immediately. I/We, the parents or guardians named above, authorize Pastor Jon Limmer or one of the Covenant Christian Community Church Ministry Staff or Volunteer Leaders to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the participant named above in the event of an emergency and the parents/guardians being unable to be reached. I/we named above, undertake and agree to indemnify and hold blameless the Pastor, the Ministry Staff, Covenant Christian Community Church, its Pastors, Church Board, against any loss, damage, or injury suffered by the supervising individual representing the church. This content and authorization is effective only when participating in or traveling to events of the Covenant Christian Community Church.
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Yes
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