FBI Summer Camp Registration Form
Join us as a Faithful Bible Investigator
Monday - Friday, July 10 - 14 from 9 a.m. to 12 p.m.
at Knox Presbyterian Church in Manotick
5533 Dickinson St.

For children from Junior Kindergarten to Grade 5 in September.

To contact Alex for registration, contact us at 613-692-4228
or email at knoxmano@bellnet.ca

Cost is $15/camper but we will also honour a maximum of $30/family.
Camp fees will be received on the first day of camp - Monday, July 10.
Cheques may be made to "Knox Presbyterian Church"

The deadline to register is SUNDAY, JULY 2 at 12 a.m.

Please be aware that at our summer camp, we will be teaching Christian values and Bible lessons.

Parent / Guardian Information:
First Name:
Your answer
Last Name:
Your answer
Mailing Address:
Your answer
Phone #:
Your answer
Alternate Phone #:
Your answer
Email:
Your answer
Alternate Emergency Contact:
Name and Phone #:
Your answer
Camper Information: Child 1
First Name:
Your answer
Last Name:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade in September:
Your answer
Does the camper have any allergies or other medical conditions that organizers should be aware of? If yes, please explain:
Your answer
Child 2:
First Name:
Your answer
Last Name:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade in September:
Your answer
Does the camper have any allergies or other medical conditions that organizers should be aware of? If yes, please explain:
Your answer
Child 3:
First Name:
Your answer
Last Name:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade in September:
Your answer
Does the camper have any allergies or other medical conditions that organizers should be aware of? If yes, please explain:
Your answer
Child 4:
First Name:
Your answer
Last Name:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Grade in September:
Your answer
Does the camper have any allergies or other medical conditions that organizers should be aware of? If yes, please explain:
Your answer
Photos may appear in display within our church and our website. Children’s names will not be posted. If your children are in our photos, do we have your permission to use them for display?
I understand that, while the leaders and volunteers of Knox Presbyterian Church will take precautions to ensure the safety of all children while they are at summer camp, I will not hold them liable for any injury or cost incurred by injury during the activities. I acknowledge that it is my responsibility to advise Knox Presbyterian Church of any medical or health concerns of my child that may affect his/her participation in the activities. I consent that, in the case of an emergency, Knox Presbyterian Church, through its employees, leaders and volunteers may secure such medical advice and services as those individuals, in their sole discretion, may deem necessary for my child's health and safety, and that I shall be financially responsible for such advice and services. By entering my name below, I acknowledge that I have read the above and agree to the conditions.
Full Name:
Your answer
Today's Date:
MM
/
DD
/
YYYY
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