winter camp 2016 banner.001.jpeg

Please print and download these consent forms to be returned to the camp:

REC Consent Form      Rock Mountain Consent Form

 Student Information

Name *
Name
Sex *
Address *
Address
Date of Birth *
Date of Birth
Shirt Size
Church Phone
Church Phone
Parent/Guardian Information
Father
Father
Father Phone #
Father Phone #
Mother
Mother
Mother Phone #
Mother Phone #
Emergency Information
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number
In case parents cannot be reached
Insurance Policy Holder's Name
Insurance Policy Holder's Name