GO Camp Registration Form 2019
Please complete the following registration form for each child that is attending GO Camp.
Email address *
Please select what track your child wishes to attend.
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Parent/Guardian Name & Contact Number *
Your answer
Emergency Name & Contact Number *
Your answer
Allergies, Medication and Instructions (n/a if none) *
Your answer
Does your child have any physical, emotional, mental, behavioral concerns or limitations that staff should be aware of? (if yes, please explain)
Your answer
Child's Health Care Card Number *
Your answer
Child's Family Doctor and Phone Number
Your answer
Medical Authorization *
FOIP Consent
*
Purposes, Extents & Claims
Whitecourt Baptist Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture ongoing relationships with you and your child, and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Whitecourt Baptist Church to limit the information collected, or to view your child's information, please contact us.
*
Payment
Please send an etransfer to giving@whitecourtbaptist.com and include your child's name(s) and track of camp they will be attending in the "notes" section of the etransfer. Cash or cheques made out to "Whitecourt Baptist Church" will also be accepted and can be dropped off at the church. (6240 47 Street)

An email will be sent to the email address you provided which will include payment options and further camp details.

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