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Registration Form for Adventures in Day Camp!
TO REGISTER: Complete the attached e-form & click submit below. You'll be contacted by FFM Facilitator Diane Berry regarding payment & details.

*Contributions can be made @ www.PayPal.Me/FullForceMinistries, or if you prefer cash, check/money order, please contact FFM Facilitator @ 313.649.5020 or SoldierofHope85@gmail.com ~Thank you

Email address
2017 Day Camp Details ~ Theme: "LOVE THY NEIGHBOR" ~
First & Last Names of children attending:
Your answer
Birthdate & Ages of children attending:
Your answer
Dates Attending (check the appropriate boxes):
Required
First & Last Names of Parents:
Your answer
Address:
Your answer
City & Zip:
Your answer
Email Address:
Your answer
Mobile Phone:
Your answer
Emergency Contact if parent is unavailable (include name, relation & phone):
Your answer
List any Physical, Emotional, Medical Problems of attendees. Include Food Allergies. (If none, type none):
Your answer
Do you & family members confess Christ as your Savior & Lord?
Your answer
Church name & city if regular attending members:
Your answer
If in need of sponsorship help for day camp, what is your family size & annual household gross income? (proof will be needed)
Your answer
"AGREEMENT / RELEASE" ~ I agree that I shall hold Diane Berry, Full Force Ministries, All Facilities, All Locations, All Instructors, Volunteers, and Representatives of the above harmless for any liabilities arising from Instruction and/or participation in any activity conducted by the above and/or on the premises used by the above. I understand that making a payment reserves my child(s) spot and that there are no refunds. I agree to pay additional bank fees in the event that my check is returned.
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A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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