Middle School Camp
Shocco Springs, Talladega, AL
June 3 - 7, 2019

Early Bird: $325 (September 23 - November 30)
Deposit Due (due at registration): $75
Final Balance Due: March 17th

Regular Price: $350 (December 1st - March 17)
Deposit Due (due at registration): $75
Final Balance Due: March 17th

Student Information
You must complete each required question. You must submit one form for each of your students.
Highest Grade Your Student Has Completed *
Student's First & Last Name *
Your answer
Gender *
T-Shirts Size (Adult size only) *
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Cell Phone #
(xxx)xxx-xxxx
Your answer
List any special medical conditions or medicines your student needs to take
Your answer
List any food allergies your student may have
Your answer
Parent/Guardian Information
This information will be used to contact you in the case of an emergency.
Parent/Guardian First (First and Last Name) *
Your answer
Parent/Guardian E-mail address *
Your answer
Parent/Guardian Home Phone Number *
(xxx)xxx-xxxx
Your answer
Parent/Guardian Cell Phone Number *
(xxx)xxx-xxxx
Your answer
Payment Information
Please choose one of the following payment options. (Please make all checks payable to Sherwood Baptist Church. Sorry, we do not accept debt/credit cards).
I am going to pay for Summer Camp 2019 by *
Permission to Attend this Event
We must have a medical release form signed for every student attending Summer Camp 2019. Copies are available at the Student Welcome Desk or on our webpage.
I give my student permission to attend Summer Camp 2019. By signing this form, I agree to hold harmless Sherwood Baptist Church and the adult sponsors from any and all liability, claims, or demands for personal injury, as well as damage and expenses of any nature that occur while my student is participating in this event. I give permission for my student to receive medical attention, if required. (Parents will be contacted in case of an emergency.) *
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