MEGA Youth Summer Camp Registration Form

Parent/Guardian Name *

Home address *

Phone Number *

Child 1 Name and Age *

Please list any allergies or special medical needs for Child 1. *

Child 2 Name and Age

Please list any allergies or special medical needs for Child 2.

Child 3 Name and Age

Please list any allergies or special medical needs for Child 3.

Child 4 Name and Age

Please list any allergies or special medical needs for Child 4.

Emergency Contact Name (other than parent/guardian listed above) *

Emergency Contact Phone Number (other than parent/guardian listed above) *

PARENTAL AUTHORIZATION

I give authorization for my child(ren) to attend the Mega Youth Summer Camp and participate in the youth activities. I will not hold the voluntary staff, van/bus drivers and volunteers liable for any injuries or accidents incurred during my child(ren)'s participation in the Mega Youth Summer Camp. This also includes the release of Bible Way Ministries International staff, ministers, security, van/bus drivers and volunteers from any liabilities incurred during the transporting of your child(ren) to and from the facility, field trips, individual time/outings with representing adults/mentors, special engagements and other opportunities that may occur for your child(ren), if provided.

Parent/Guardian's Signature: Date:

PARENTAL AUTHORIZATION

I give authorization for my child(ren) to attend the Mega Youth Summer Camp and participate in the youth activities. I will not hold the voluntary staff, van/bus drivers and volunteers liable for any injuries or accidents incurred during my child(ren)'s participation in the Mega Youth Summer Camp. This also includes the release of Bible Way Ministries International staff, ministers, security, van/bus drivers and volunteers from any liabilities incurred during the transporting of your child(ren) to and from the facility, field trips, individual time/outings with representing adults/mentors, special engagements and other opportunities that may occur for your child(ren), if provided.

Parent/Guardian's Signature: Date: