Signs of Praise Dance Camp Registration Form

Signs of Praise Dance Camp Registration Form

To book for a place in the the camp, you must complete the form below accurately.
Camper #1

First NameLast Name
Camper age
Birth Date

MonthDayYear
Select Camp shirt size Camper #1
Home Phone Number
Format: (000) 000-0000.
Mobile Number
Format: (000) 000-0000.
Email Address
example@example.com
Desired Name
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have any other teens to participate?
Camper #2 Name

First NameLast Name
Camper age
Birth Date

MonthDayYear
Select Camp shirt size Camper #2
Camper #3

First NameLast Name
Camper age
Birth Date

MonthDayYear
Select Camp shirt size Child #3. if you have more than 3 teens participating please do another form. Thank you
Please provide any medical or dietary restrictions your child have. If none type NONE
How did you hear about Camp?

Church Affliate Information
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor Name

First NameLast Name
Contact Phone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Do you Praise Dance at your church? If so for how long?

Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Relationship to Child

Your Reason For Attending This Praise Dance Camp

For Participant Only
In 300 words or less, please describe your reasons for wishing to attend this Praise Dance Camp.

0/300
SPONSORSHIP OPPORTUNITIES
This is a Free Youth Camp, but we are are ALWAYS looking for sponsors to donate and help us to purchase uniforms, tshirts, flags and other items needed for the young ladies during the camp.

To be BE A SPONSOR you can donate.......

*By giving a Cash Donation in a envelope marked Sponsorship with your Name or Business Name to Nyjah Black, Praise Dance Camp Leader.

*Check made payable to: Word In Season Ministries Church for "Praise Dance Camp Sponsorship "

*Cashapp at $WISMinistry1 note for: "Praise Dance Camp Sponsorship"

To Be A SILVER CAMP SPONSOR - GIVE $50 or less

To Be A GOLD CAMP SPONSOR - GIVE $100

To Be A PLATNIUM CAMP SPONSOR - GIVE $200 or more
Would you like to be a Sponsor for our Praise Dance Camp?
Choose the way you would like to sponsor or donate.
Authorization
*I, the parent/guardian of this camper gives authority to the staff of this camp to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if the emergency contact person cannot be reached.

*I authorized first aid, medical/surgical diagnosis, and treatment which may deem necessary.

*I released the organizers, coaches, staff, or managers of this camp for any responsibility in case of accident, illness, or injury during my child's enrollment.

*I confirm that all information given in this form is true, complete, and accurate.
Signature
Should be Empty:

Signs of Praise Dance Camp Registration Form

Church Affliate Information

Emergency Contact Information

Your Reason For Attending This Praise Dance Camp

SPONSORSHIP OPPORTUNITIES

Authorization