Color Wars Registration Form
Email address *
Color Wars Retreat
This event is weekend retreat up at our church property, "The Pines", which is located in beautiful Thompsonville, Michigan. Thompsonville is northwest of Cadillac.
Groups are leaving from church:
Boys are leaving Friday night, October 19th, at 5:30 pm 
Girls are leaving Saturday morning, October 20th, at 7:30 am

Everyone will be back to the church by 5:00 pm on Sunday, October 21st

COST
The cost is $40 per student.
Student's name *
Your answer
Parent or Guardians Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Insurance Company *
Your answer
Policy Number *
Your answer
Additional Emergency Contact Info
Your answer
Special Health Needs
Your answer
Special Medication
Your answer
Disclaimer
I give my child permission to participate in all Youth Ministry activities, trips, and programs sponsored by Heart O The Lakes Church.

I understand that the chaperones will use their best efforts to supervise; however, I also understand they are not responsible for loss of personal property or bodily injury.
  
During youth events, there will be photos taken for church use on the web site and/or slideshows.  Will you give us your permission to use these photos of your child, knowing that your child’s name will not be attached to these photos.
 
I give permission for HOTL to use my child’s photo:
 
Medical Information and Emergency Release
In the event my child becomes ill, is injured or requires emergency medical attention of any kind, and I cannot be reached by phone, I authorize the adult chaperone(s) to make the necessary decision concerning emergency treatment.  I also give permission for my child to be transported to the nearest medical facility or hospital for treatment.  I understand that I will assume full responsibility for the payment of services rendered.

I Agree to the Disclaimer *
Required
Payment
Please make all checks payable to Heart O The Lakes Church with the memo 'Color Wars'
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