Youth Camp Fasola 2017 Registration
Dates: July 3–7, 2017

More information on Youth Camp Fasola: http://campfasola.org/youth-camp/.

Registration is now open. After June 15 the price for camp fees will increase by $50 for both youth and adults.

Camp Fees:
$250 – Youth full fees (age 29 and under)
$450 – Adult full fees (age 30 and up)
$50 – Refundable deposit payment required at registration. Remainder of fees due by June 15.

First Name
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Last Name
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Name for Badge
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E-mail Address
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Phone
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Street Address, City, State/Province, and Postal Code
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Country
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Sex
Date of Birth
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Emergency Contact Name
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Emergency Contact Phone
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Insurance Provider
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Insurance Policy Number
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Allergies/Other Information
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Medications
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T-Shirt Size
Release for Medical Treatment and Liability and Agreement to Camp Rules Text
For myself or as the parent/legal guardian of the registered camper, I hereby give my consent for emergency medical care prescribed by a licensed medical professional. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of the camper. I hereby give my approval for registered camper to participate in any and all Camp Fasola activities, including transportation to and from the activities. Knowing that participation in camp activities may result in injuries, I/we hereby waive, release, absolve, indemnify and agree to hold harmless the Sacred Harp Musical Heritage Association, Camp Lee, their affiliated organizations, sponsors, employees, and volunteers, including the owners of the facilities utilized for the activities from any claim by or on behalf of the registered camper arising out of any injury whether the result of negligence, or for any cause as a result of the registered camper’s participation in the programs and/or being transported to or from the same, which transportation I hereby authorize. I agree that the registered camper will follow safety and participation rules of Camp Lee and Camp Fasola. I hereby release all rights of the registered camper regarding any photographs, video recordings, and/or audio recordings made during Camp activities and agree that these can be used by or assigned use by SHMHA/Camp Fasola.
Release for Medical Treatment and Liability and Agreement to Camp Rules
Required
Why You Want to Attend Camp
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Comments
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