Operation Legacy Application Form
2019 Lake Tahoe Mens Camp
Email address *
Campers Name *
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Date of Birth
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DD
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YYYY
Best Phone Number
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Mailing Address
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Health Restrictions / Dietary Restrictions?
T- Shirt Size
Your Home Church
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Emergency Contact Name & Number
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Release Info.
MAKE ALL CHECKS payable to: LTCF, with a footnote, “Mens Camp”.You may also pay with Visa or Master Card. Go to our website and pay online.www.laketahoeCF.com In case of a medical emergency, I hereby give my permission to the physician selected by Lake Tahoe Christian Fellowship director, to hospitalize, secure proper treatment for, and to order injections, anesthesia, or surgery for myself/ child as named on the registration hereof. I/We do hereby release Lake Tahoe Christian Fellowship’s agents, employees, interns, and volunteers from any liability whatsoever arising out of injury, damage or loss, which may be sustained by camper’s involvement during Camp. Signature:________________________________ Parent/Guardian Signature (if under 18): _________________________________________Ministry of Lake Tahoe Christian Fellowship 3580 Blackwood Rd. South Lake Tahoe, CA 96150(530) 721-0110 Fax (530) 541-7980 mtmikeuwa@aol.com
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