Student Life Youth Camp 2022

July 25-29, 2022 | We are so excited to offer this life-changing event this summer and we are very excited to see our students grow his or her relationship with Christ! Please fill out this form and click submit.
Parent Information

 
 
 
 
 
Emergency Contact (Not Same As Above)

 
 
Child Information

 
 
 
 
 
 
Please select one option.
Medical Information

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Payment Options

 
Liability Release

By selecting the box below I agree to the following statement:


I do hereby consent to authorize and direct chaperones of Community Baptist Church to obtain for my child such medical care, treatment, and hospitalization as may deem necessary. I do hereby release, remiss, and forever discharge the chaperones and Community Baptist Church for any and all claim, demands, actions or cause actions, past, present, and future, known or unknown, arising out of any injury to my child. I give permission to Community Baptist Church to take photographs and/or videos of my child which may be used for internal publication and/or associated social media.

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Description

July 25-29, 2022
We are so excited to offer this life-changing event this summer and we are very excited to see our students grow his or her relationship with Christ! Please fill out this form and click submit.