• Camper Information

    July 17-22 - $150/per camper
  • Please fill out form for each camper/volunteer separately.  Thank you  **Before beginning** Please have images/pdf of front and back of camper/volunteer insurance card available to attach/upload.
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  • Parent / Guardian Information

  • Please list all phone number where parent/guardian can be reached

  • Emergency Contact Information

  • Medical / Insurance Information

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  • Camper / Participant Past Medical History

  • Medications

    List all medications the participant will take during any THRIVE trips, retreats, or events.  This includes any prescription, non-prescription medications, herbal supplements, and vitamins.  any participant under theage of 18 is required to give ALL MEDICATIONS to the adult youth leader in their original containers with complete dispensing instructions before the start of the event.  Youth are not permitted ot carry any prescription or non-prescription medication and will be sent home at the parent/guardian's expense if they do.
  • Liability / Parental Consent

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  • Should be Empty: