Children's Camp Registration
  • Children's Camp Registration

  • Format: (000) 000-0000.
  •  - -
  • I, the undersigned, certify that I am the parent or legal guardian of this registrant (hereafter the "minor child"). I hereby give my consent to have my minor child participate in the Great Plains Children's Camp during the week of June 23-27, 2025. I recognize that there are risks involved in participating in a camping event and hereby assume all risk of injury, harm, damage or death to my minor child in connection with his/her participation in this activity. To the fullest extent permitted by law, I release the Great Plains Region of the Missionary Church, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child while participating at Children's Camp and agree to save and hold harmless the Great Plains Region of the Missionary Church, its trustees, officers, directors, employees, agents and representatives from any claims arising out of my minor child's participation in the camp activities. Further, being the parent or legal guardian of the minor child, I do consent to any medical, surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor child. I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission for the camp director to make the decisions necessary for treatment. Should the camp director be unavailable, I give permission to the attending physician to treat my minor child. As parent or legal guardian, I understand that I am responsible for the health care decisions of my minor child and agree that my insurance plan is the primary plan to pay for any medical expenses relating to my minor child. Any insurance policy of the camp will be used as the secondary coverage.

  • If this is registration for your second or third child please be sure to make the appropriate selection below.

     

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            Full Payment
            $275.00
              
            Deposit

            Final payment due upon arrival at camp

            $50.00
              
            Second Child Registration
            $250.00
              
            Third Child Registration
            $225.00
              
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            Total
            $0.00
          • Choose from one of the PayPal options to make your payment.

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