2008 Registration Deadlines: Family Bible Camp, July 13

Also read over: Objectives, Responsibilities and Rules

Cedar Hills Family Bible Camp

___ Summer Camp (July 18 - 20, 2008)

REGISTRATION FORM

NAME: ___________________________________________ MALE _____ FEMALE _____

ADDRESS: _____________________________________________

AGE: _____ (not needed for adults over 21)

List the name of adult sponsor for each child under 9 ________________________

I give my child permission to swim. Yes _____ No _____

I hereby give my authority and consent for medical and/or surgical treatment in the judgment of the physician chosen be camp officials. I give my permission transport my child at the camp official’s discretion, and will not hold Family Bible Camp, Peace Congregational Church, or its officials responsible in case of an emergency.

Parent’s signature ____________________________ (Your signature indicates that you agree with this contract.)

Home phone ( _____ ) _____ - _______ Business Phone ( _____ ) _____ - _______

Other person to phone in case of an emergency _________________________, ( _____ ) _____ - _______

Does your child take special medication or have allergies to any medication?

Medication _________________________ Allergies _________________________

Note: In case of an emergency Cedar Hills Church Camp may contacted at the following number: 405 656 2811