El Camino Registration 2019
We're excited to have you join us for the 2nd annual backpacking trip July14-17. Intended for beginners, this four day, 14 mile trek will provide an experience of backpacking near Mt. Rainier. Each day will give us the opportunity to work together (setting up and taking down camp), walking 4 miles with packs (with elevation gains/losses), eating, praying, singing, and appreciating the beauty of God’s creation. El Camino will also include some programming meant to engage campers and draw their attention to the love of God and the way of Jesus.

**Registration is first come, first serve and is currently only open to students. Registration is limited to 25 total participants. Because we are limited in the number of backpackers we can bring, and to create as many spaces for students as possible, registration for parents and other adults will be extremely limited this year. Any adult joining us will be asked to share in the leadership. If this interests you, please contact Josh Reid to inquire.

El Camino: A backpacking experience for students entering 4th through 6th grade in the Fall of 2019
July 14-17
Location TBD

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Cost:
$75 per camper

**Checks to be made out to North Valley Friends Church
Registration deadline for El Camino: Friday, June 30th

Additional Questions? Contact:
Josh Reid (NEFC) jreid@me.com // 503.537.6894

Email address *
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Grade in School (Fall of 2019) *
Your answer
Age *
Your answer
Birthdate | month/day/year *
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Street Address *
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City, State, Zip *
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1st Parent/Guardian Full Name *
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1st Parent/Guardian Phone *
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1st Parent/Guardian Email *
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2nd Parent/Guardian Full Name
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2nd Parent/Guardian Phone
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2nd Parent/Guardian Email
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Emergency Contact Full Name (in case a Parent/Guardian cannot be reached) *
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Emergency Contact's Relationship to Camper *
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Emergency Contact Phone *
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Date of Last Tetanus Shot | month/year *
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Family Physician
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Family Physician Phone
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Medical Insurance Provider
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Medical Insurance Policy Number
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Medical Insurance Identification Number
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Any Known (non-food related) Allergies *
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Food Sensitivities/Allergies (The El Camino team will create a meal plan with your camper's needs in mind, but please consider packing additional snacks for your camper.) *
Medical History: please include information about any diagnoses or special needs/restrictions that camp staff & nurse should know about. This should include any current medications. *
Your answer
Photos/videos of my child *
I have legal custody of the minor named on this form and give consent for participation in the activities of camps provided by Newberg Emerging Friends Church and North Valley Friends Church during the week of camp (July 14-17, 2019). If in an emergency, and a Parent/Guardian cannot be reached, I give permission to the leaders of NEFC and NVFC to seek appropriate medical help. *
Parent/Guardian Name (digital signature) *
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Today's Date *
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