Women's Christmas Workshop Registration
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Name *
Mailing Address  *
Allergies *
Dietary Restrictions *
Waiver & Conditions of Enrollment: The participant, release PEI Presbytery, staff, and agents from any loss, personal injury, accident, misfortune, or damage to the named applicant on this form or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the named applicant on this form. Each participant must be covered by PEI Medicare or equivalent medical insurance. The Camp Director reserves the right to dismiss a participant who, in his/her opinion, is a hazard to the safety and rights of others, or who appear to have rejected the reasonable controls of the camp.
Copyright and/or use photographic representations of participants, in various forms of media used by photographers and computer artists to assist the camp, including to use in publicity, promotion, camp advancement, marketing, and/or educational purposes, including the use of any printed or multi-media materials for Camp Keir. I hereby realize and accept that this is on a voluntary basis and no financial remuneration will be received from the photographer, Camp Keir, or any firm publishing and/or distributing the finished product. I have read, understand and agree to this release.
A copy of your responses will be emailed to the address you provided.
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