Summer Camp Adventure Registration
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Email *
Campers Full Name *
Campers Age and Date of Birth *
Grade for School Year 2025-2026 *
T-Shirt Size *
Parent/Guardian Name, Email and Phone Number *
Emergency Contact Name and Phone Number *
Allergies/Medications or Special Needs Accomodations *
Physician Contact Information *
Please select the weeks your camper will attend: *
Required
Registration - Invoices will be sent at time of registration.
(1st week camp fee and activity fee due at time of regisration to reserve your camper's spot.)
*
Required
I, the Parent/Guardian, hereby grant permission for my child to attend The Summer Adventure Camp at New Light Baptist Church. I understand that participation in camp activities involves inherent risks, including risk of personal injury, and I agree to assume these risks on behalf of my child.

I hereby release, waive, discharge, and covenant not to sue Summer Adventure Camp or New Light Baptist Church , its directors, employees, volunteers, and agents from any and all liability, claims, demands, or causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by my child during camp activities, except in cases of gross negligence or willful conduct.

I agree that it is my responsibility to ensure that my child follows all camp rules and instructions.  I further acknowledge that if my child sustains any injury or requires any medical attention while at camp, I authorize the camp staff to secure any necessary emergency medical treatment for my child.

I also agree and understand that payment for the upcoming week of camp is due by 5:00 pm on the Friday immediately preceding the week. Failure to provide payment by this deadline may result in my child being unable to attend camp activities for the upcoming week.

By signing below, I certify that I have read and fully understand this waiver and payment agreement, and I agree to abide by its terms.

*
A copy of your responses will be emailed to the address you provided.
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