War Week
WORSHIP | WORD | WITNESS | WORK

Camper Registration

 
CAMPER INFORMATION
For multiple campers; please fill form out for each camper individually
Camper Name *
Camper Name
Camper Date of Birth
Camper Date of Birth
Camper Address *
Camper Address
Camper Mobile Phone
Camper Mobile Phone
Parent/Guardian *
Parent/Guardian
Parent/Guardian Mobile Phone
Parent/Guardian Mobile Phone
Parent/Guardian Home Phone
Parent/Guardian Home Phone
Pastor's Name
Pastor's Name
Church PhoneYouth Pastor
Church PhoneYouth Pastor
Youth Pastor/Team Leader
Youth Pastor/Team Leader
Youth Pastor/Team Leader Mobile Phone
Youth Pastor/Team Leader Mobile Phone
Consent & Release Form
Photo Release *
In consideration of the right of the aforementioned applicant to participate in this activity, I hereby give consent to and authorize the taking of photographs/videotapes/media in which the applicant may appear. I hereby waive all right to any said media.
Active Consent
I specifically consent to my applicant’s participation in activities offered by this camp, including but not limited to, cleaning, washing cars, painting, and yard work. I certify that my applicant has the necessary skills to participate in any of the approved activities.
Transportation Consent *
We understand that some camp activities may require travel to other locations. All transportation during this camp will be provided by camp staff or those designated by them. All drivers of vehicles will be appropriately licensed and over the age of 21. We understand that some transportation will be done in privately owned vehicles that are in good safe condition.
The undersigned parent, legal guardian, or participant acknowledges that even though every effort is made to provide a safe, accident-free environment, incidents may occur. In consideration for participation in this event, we (1) being 21 years of age or older, do for ourselves (myself) (and on behalf of my child-participant, if said child is under 21 years old) hereby release forever, discharge, and agree to hold harmless the aforementioned camp, Gracepoint Gospel Fellowship, directors and staff thereof from any and all liability, claims, or damage for personal injury, illness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in this event. Furthermore, we (I) (and on behalf of our [my] child-participant if under 21 years old) hereby assume all risk of personal injury, sickness, death, damage, and expense as a result of participation involved therein. Further, authorization and permission is hereby given to said organization to furnish any necessary transportation, food, lodging for this participant. The undersigned further agrees to hold harmless and indemnify said organization, its directors, employees, volunteers, and agents, for any liability sustained by said organization as the result of child leaving the premises/event/venue where activity is being held, including negligent, willful, or intentional acts of said participant, including expenses incurred attendant thereto.
Consent to Liability Release *
Health Information Form
Accurate medical information needs to be made known in order to ensure camper’s health and well-being. War Week personnel will hold this information in strict confidence.
Date of Last Tetanus Shot *
Date of Last Tetanus Shot
Does camper have any history of, or is he/she currently being treated for, the following:
I, the undersigned (parent or legal guardian), hereby authorize any necessary medical treatment for the applicant/myself. I also guarantee all payment of all charges incurred during this medical treatment.
Consent for Medical Treatment *