CFC Youth Group CONNECT 2017
Date: Saturday June 24, 2017
Time: 8:30AM - 10:00PM
Location: Camp Warren | Decatur, IL

CONNECT is a full day event where the students will be engaged in biblical teaching and have an amazing time with fun activities such as paddle boats, zip-lining, archery, archery tag, 9 square in the air, slack line (tight rope), tether ball, disc golf, horse shoe tossing, etc. The purpose of this event is to CONNECT with God and with one another as the body of Christ.

Cost: $25 (Payment options are listed on the form)
by Sunday June 4, 2017

Camp Warren WAIVER FORM: Please Print and Give to Gee at Sunday Service

Questions please email:
• Joe Tek at
• Eddie at
• Gee at

First Name
Your answer
Last Name
Your answer
Your answer
Your answer
Your answer
6th - 13th (grade in Fall of 2017)
Your answer
Payment Options
Emergency Contact
Name of Parent / Guardian - Relationship to Child
Your answer
Parent / Guardian Cell Phone
Your answer
Any known allergies or health conditions
Your answer
Parental / Guardian Consent
I give my child permission to attend the CFC Youth Group CONNECT on June 25, 2016 at Camp Warren in Decatur, IL . I am aware that my child as a participant of this event, must abide by all rules and regulations and assume responsibility for his/her actions.
Release of Liability Consent
In the event that any accident or injury should occur involving my child, I will hold no liability against Covenant Fellowship Church, Camp Warren, or any of their staff or representatives.
Medical Consent
As may be deemed necessary, I give permission for non-prescription medication (e.g. Tylenol, Advil, Mylanta, Etc.) to be issued to my child, and I authorize any medical treatment by a physician or nurse to be administered to my child. In such a case, I will assume the responsibility of all medical bills.
Name and Date
Name of person filling out form / Today's date
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms