Please select the workshops you wish to participate in during North East Worship Camp 2020. Descriptions for workshops can be found here.
Authorization to Consent to Medical Treatment/Activities Consent
As the parent or legal guardian of the above named teen, in the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for my child as named above. I will not hold NEWC or its staff responsible for any injuries or damages related to obtaining or consenting to such medical treatment. I also give permission for the teen to participate in all camp activities, except as noted on this form. I declare that the health information I have provided in this application, to the best of my knowledge, is true, correct, and complete.
Please download the following form to be completed by your child's Dr., P.A., or Pediatrician.
Completed forms can be scanned and emailed to: email@example.com
OR mailed to New Hope Fellowship, PO Box 96, East Bloomfield, NY 14443.
Once your form is submitted you can head over to our camp merchandise page where you can select to make an online payment for registration.
If you do not wish to pay online you may also send a check to our camp office:
NEWC, c/o New Hope Fellowship, PO Box 96, East Bloomfield, NY 14443.
Please make all checks payable to "NEW HOPE FELLOWSHIP".
NOTE: Your registration is not finalized and your spot is not confirmed until the physician health form and payment is received in full and our office has confirmed your registration by email. Please contact us with any questions you have.