SOMA Peace and Justice Camp 2019
Register below for 2019 Peace and Justice Camp weeks. Upon receipt of the registration and payment, you will receive a confirmation email and receipt. Within 2 weeks of registration, you will be mailed a camp welcome package. Scholarships are available — please contact Brenda Wheeler Ehlers 973-202-2615 for information.
Email address *
Untitled Title
Name *
Your answer
Address *
Your answer
Age *
Your answer
Grade entering 9/19 *
Your answer
Parent/Guardian Names *
Your answer
E-mail for camp communications *
Your answer
Camp Week *
Best phone for camp communication *
Your answer
The information provided here is correct and complete as far as I know, and the camper has permission to engage in all camp activities unless noted. I hereby give permission to the medical personnel selected by SOMA Center for Peace and Justice and Morrow Church to order X-rays, routine tests, treatment and to release records as necessary and to provide or arrange necessary transportation for me/or my child in the event of an emergency. It is agreed by the undersigned as follows: That neither Morrow Church, nor its employees, volunteers or SOMA Center for Peace and Justice volunteers shall be liable to the undersigned for any claim. Such claims being hereby waived, the undersigned will indemnify and hold harmless Morrow Church, SOMA Center for Peace and Justice and their employees and volunteers from all liability for such claims. *
I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or video of the person named above by Morrow Church and its affiliates, including SOMA Center for Peace and Justice. I also grant to them the right to edit, use, and reuse said products for non-profit purposes including use in print, on the Internet, and all other forms of media. I also hereby release Morrow Church, SOMA Center for Peace and Justice and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above. *
Allergies/medical information/medications/dietary or activity restrictions or precautions: *
Your answer
Emergency Contact (Name and Phone) other than parent/guardian: *
Your answer
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