Collide Youth Camp Registration/Liability Release Form 2024

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Email *

Church Name: *

Camper's Last Name: *

Camper's First Name: *

T-Shirt size? *

What size shirt does your camper wear?

XXL

XXXL

Camper or Sponsor *

Are you filling out this form for a Camper (under21) or an Adult Sponsor (over 21)

Camper

Adult Sponsor

Child Protection Training Certificate

I understand that if I am an Adult Sponsor (over 21), I must also provide a paper copy of the appropriate Child Protection Training completion certificate (required by the Texas Department of State Health Services) at camp registration or to Camp Leadership for EACH camp I attend.

Yes, I understand. I will provide a paper copy of the certificate of completion.

Required

Address *

What is the participant's full address? (Including Street, City, State, zip)

Date of Birth: *

What is the camper's / sponsor's date of birth?

YYYY

Age *

Please provide the camper's or sponsor's date of birth.

Participant's Gender: *

Male

Female

Is the Participant a Christian? *

Yes

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