PK Retreat 2026 - Columbia Fireflies Game
Deadline to Register May 12th, 2026
Parent 1 Name
First Name
Last Name
Is Parent 1 attending? (If your child is under 13, a chaperone is required.)
Yes
No
Parent 2 Name
First Name
Last Name
Is Parent 2 attending? (If your child is under 13, a chaperone is required.)
Yes
No
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
PK's attending (please list all children attending)
Total attending (adults and children)
*
Church
*
Do you have health insurance?
Insurance Company
Policy Number
I hereby give my child permission to participate in any and all activities at the South Carolina Church of God Campground, Mauldin, SC. I hereby, waive, release, and discharge any and all claims, demands, and causes of action against Volunteers, Church of God Officials, the Church of God in South Carolina, and the International Offices, Cleveland, TN, their agents, employees, and participants arising from any damages, property loss, or injury my child may sustain at said facilities and hereby accept all responsibilities for medical costs. If my child causes damages to said facilities through willful destruction and/or by accidental means, I hereby accept financial responsibility to repair and/or replace property at the discretion of Church of God Officials. I give permission for my child to travel with the Church of God via professional carrier, and or other means of transportation with a licensed driver. Further, I understand that my child may be denied involvement from any activity for safety precautions and/or as penalization for disobedience of rules at the discretion of officials, or volunteers. I further understand that my child may be photographed and or videoed for promotional and/or remembrance purposes. These images will remain the property of the Church of God for use as the Church of God sees fit. I accept full financial responsibility for and hereby consent to allow employees, and/or volunteers to obtain emergency medical treatment as needed for my child if I am physically unavailable at the time of said illness or accident. Further; It is understood that my medical insurance, health insurance, or accident insurance (if applicable) will be used as the primary policy and that the Church of God policy will be used as the secondary policy
*
Purchase Tickets
*
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Adult Ticket(s)
Please select the quantity below. We will purchase according to this number.
$
29.00
Quantity
1
2
3
4
5
6
7
8
9
10
Child Ticket
(Under 17)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
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