MFC Youth NW: Camp Resurrected
Participant Name
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First Name
Last Name
Participant Age/Grade
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Age
Grade
When is your birthday?
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MM/DD/YYYY
Who invited you to camp?
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Participant Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Participant Email
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example@example.com
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
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example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
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Name
Phone Number
Any allergies or medications we need to be aware of?
Medical Information
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Primary Care Provider
Medical Insurance
Camp Registration is $125 (Financial Aid available if needed text Tina Padua (206)-412-8392)
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I will pay using Venmo @MFC-Washington
I will pay using Zelle MFC Washington (email - MFCWashington7@gmail.com)
I will pay at the venue with cash or check (please address check to MFC Washington)
Fill out waiver for lake retreat camp - copy link and fill out before submitting form!
https://www.waiverfile.com/b/LakeRetreatCamp/Waiver.aspx?id=223952c2-07ea-4899-9fee-67e4494ec03b
I, the parent and/or guardian hereby give my consent for the participation in attending the Youth Camp, which will be held at Lakeview Conference & Retreat Center. MFC and its Family Ministries are therefore absolved and released from any responsibility and/or liability for my child while engaged in any of the activities within the scope of the program. I agree and understand that I hold harmless, MFC from any liability, cost or damage to any property caused by or arising out of my child participation in this event. I understand that medical coverage is not available through Missionary Families of Christ.
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