FCA Kids Camp 2019 Registration July 8-12
Sand Hill Lake Bible Camp
1046 250th Ave Fosston, MN 56542

Lead Director: Pastor Rebecca Haapanen 218-590-8568

Sand Hill Lake Bible Kids Camp July 8-12, 2019
Registration Cost: *
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Parent/Guardian Full Name: *
Your answer
Parent's Email Address: *
Your answer
Birth Date Of Child: *
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Gender: *
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Grade Entering In The Fall: *
Is this your first time attending this camp? *
Home Church (The church your child will be attending camp with.) *
Payment information: *
I would like to pre-order a shirt and PAY FOR IT THROUGH PAYPAL at the price of $11.00. (Please go to paypal.me/shlbc/11) I understand that the shirt will be delivered to camp and MUST BE PAID FOR BY JUNE 1st. (Some shirts will be available at camp for $15 in limited sizes and quantities.) *
Required
Shirt size: only if you buy shirt through paypal by June 1st.
Guardian/Emergency Contact #1 First & Last Name: *
Your answer
Guardian/Emergency Contact #1 Phone Number: *
Your answer
Guardian/Emergency Contact #1 Email Address: *
Your answer
Guardian/Emergency Contact #1 Relationship To Camper: *
Your answer
Guardian/Emergency Contact #2 First & Last Name: *
Your answer
Guardian/Emergency Contact #2 Phone Number: *
Your answer
Guardian/Emergency Contact #2 Email Address: *
Your answer
Guardian/Emergency Contact #2 Relationship To Camper: *
Your answer
Medical Insurance Provider: *
Your answer
Medical Insurance ID number: *
Your answer
Immunizations are up-to- date *
Date of last tetnus shot: *
Your answer
Dietary restrictions: *
Will your camper need to be given medicine at camp? *
If yes to medications, list all medications your child will need:
Your answer
Please list all allergies, special needs or accommodations if needed:
Your answer
Does your child have permission to have their photo taken for promotional materials? *
List 1 or 2 Roommate Preferences
Your answer
Is there any additional information you would like us to know?
Your answer
I will print and sign the attached liability waiver form and give it to my sending church or mail it with my check to camp. I understand that no child or adult may attend camp without signing the attached waiver. Please sign your full name in agreement with this. https://docs.google.com/document/d/1HwzHXkiihdrozevyb880LNC7fDArkqSyb0I14qUlb5A/edit?usp=sharing *
Your answer
Thank you for registering your child at SHLBC. Click here for packing list: https://docs.google.com/document/d/1Gzy8K9F1wvKPXkUIOZc6FhVTVLVhxl6brMzQ7J_JhDg/edit?usp=sharing *
Your answer
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