ULTRA Sports Camp at Immanuel

ULTRA Sports Camp at Immanuel takes place Sunday (new this year!) through Thursday, June 22-26, 2025, brom 6:00 pm to 8:30 pm.

Please use a separate form for each child.

Please have your child bring a filled water bottle to camp and wear appropriate closed toe and closed heel athletic shoes. A regular type sneaker is perfect. (Cleats are not needed nor encouraged.)

If you have any questions, please contact amy@ImmanuelBaptistChurch.org or call the church at 410-687-9166. 

Thank you for joining us at ULTRA!

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Email *
Camper's Name *
Camper's Grade Completed in June 2024 *
Camper's Age During Camp *
Which sport would your child like to participate in? *
Camper's Preferred Shirt Size *
Is the camper allergic to anything? *
If "yes" for allergies, please indicate allergies below.
Name of Parent(s) *
Emergency Contact Name *
Emergency Contact Phone Number *
Please list the first and last names of all people authorized to pick up your child. *
Is there anything else you would like us to know about your child?
Permission Form & Waiver

DESCRIPTION OF ACTIVITY

Event: Ultra Sports Camp, June 22 -26, 2025

Location: Immanuel Baptist Church, 5041 Bucks Schoolhouse Rd, White Marsh, MD 21237

Activity Leaders/Agents: As appointed by Immanuel Baptist Church

Date of Event: Sunday through Thursday, June 22 - 26, 2025

Time of Event: 6:00 pm to 8:30 pm

Cost of Event: Free

CONSENTS AND PERMISSIONS

Dear Parent or Legal Guardian:

Your son/daughter of completing kindergarten to completing fifth grade age is eligible to participate in an activity that consists of physical activity, snacks, and group time.

I hereby consent to participation by my child, in the event described above. I fully understand that this event will take place on the church grounds of Immanuel Baptist Church.

I understand that physical activity is involved and may take place outside and/or inside. I understand and accept the risks and hazards associated with such activity.

I understand that this activity is an undertaking that involves an element of risk. I assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless Immanuel Baptist Church and its agents/activity leaders from any and all liability that may arise out of participation in this activity and any activity associated with it.

I understand that it is incumbent upon my child to follow all rules as set forth by the activity leaders concerning this event.

I understand that my child will be given food and drink during the snack portion of the activity and that it is my responsibility to convey any allergies my child has.

I have listed all allergies and other medical concerns that are pertinent to the activities involved in participation in Ultra Sports Camp.

I give consent for emergency medical treatment, if necessary, as determined by the activity leaders and agents. I agree to hold harmless and release Immanuel Baptist Church and its activity leaders/agents from any and all liability related to expenses arising from the giving of such medical care. As parent/legal guardian, I remain fully liable for any legal responsibility which may result from any personal actions taken by the named participant.

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