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Camp Journey Registration
Camp Journey will be held on July 16 - 18, 2017. Open to all kids entering Kindergarten through 6th Grade. Supper for kids will be served at 5:30 PM. Camp runs from 6:00 - 8:00 PM each evening at the Journey North Church land, one mile north of Pine City on Hwy 61. Please complete one registration per child.
Child's Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Entering Fall 2017 *
Mother/Guardian Name & Primary Phone
Your answer
Father/Guardian Name & Primary Phone
Your answer
We will serve dinner at 5:30 each night. Will your child eat with us? *
Required
Allergy/Medical Condition Alert
If yes, please list
Your answer
Friend Request
Although we cannot guarantee cabin assignments, please name a special friend your child might like to be with at camp.
Your answer
Permission to Photograph *
During our time together, we take pictures of every child for one of their crafts, for our video slide show and other public sharing (church website & Facebook). We do not associate any personal information with any photograph. Will you give us permission to photography your child to use in these ways.
Medical Release *
I (We), the parent(s) or guardian(s) of the above listed child(ren) grant permission for our child(ren) to participate in Camp Journey at Journey North Church and to receive medical treatment if necessary. If I (we) or the listed child care provider or emergency contact cannot be reached, I (we) give our permission to the staff to secure the services of a licensed physician to provide necessary care, including anesthesia, for my child’s well-being. I (we) also release and agree to hold harmless Journey North Church and all its participants from any liability and assume all risk of injury, damage or expenses as the result of participation in activities while attending Camp Journey.
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