Camp "SUMMER BREAK WITH GOD 2025".      Registration Form
Event Timing: August 10-16, 2025
Event Address: St. Demetrius, 2123 Highway 85, Belfield, ND 58622
Contact us at 701-300-1098 (Fr. Stepan Ivanchyk) or st.johnsbelfield@gmail.com
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Participant's Name *
Participant's Age
Parents' name *
Email
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Parents' phone number *
Your Address
What days will you attend? *
Required
Does your child have any medical conditions we should be aware of? (e.g., asthma, epilepsy, diabetes, heart conditions) *
Are there any activities your child is restricted from participating in?
(e.g., running, contact sports, etc.)   *
Does your child have any allergies?   *
Does your child require any medication during camp?   *
Are there any foods your child must avoid for medical reasons?   *
Is there anything else we should know to ensure your child’s safety and well-being during camp?   *
Will you be able to drop off and pick up your child at St. Demetrius Parish, where the camp will take place?   *
Do you accept that during active play or sports activities, minor injuries such as bruises, scrapes, or bumps may occasionally occur? *
Do you agree that the camp organizers and parish volunteers are not liable for minor injuries resulting from normal camp activities (games, sport activities, etc.)? *
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