5th-8th Grade Camp 2024

Student's Information

Name

Gender

Female Male

Grade they will be in for the coming school year.

Grade

6th 7th 8th

We want everyone to have a great time at camp! With that in mind I want to make sure your student bunks with at least one friend during their stay at camp. Below is a section where you can list 3 students with whom they would be most comfortable.

Please list 3 students you would like to have as roommates:

CAMP SHIRTS WILL BE MADE BY BELLACANVAS. PLEASE SIZE APPROPRIATELY.

Medical

Prescription medicine – If you are sending your student with prescription medicine, please have it well labeled, with dosage instructions, and be ready to turn it in to our camp nurse during drop-off on Thursday the 11th.

Over the counter medicine - If your student takes over the counter medicine on a daily basis, please send a 5-day supply only, not a whole bottle, this prevents things being shared amongst students.

Allergies: We try our best to accommodate for food allergies by working with Pinecrest Camp. Please briefly describe your students allergy and then I will contact you for next steps.

Parents Information

Parent or Guardian Name

Parent or Guardian Phone

Parental Consent

I, the parent or legal guardian of the child mentioned above, am informed of the Youth Summer Camp offered by Sager Creek Community Church, on the days of 7/11-14/ 2024. As the parent or legal guardian of my child, I hereby consent for my child to attend. I hereby authorize Sager Creek Community Church, its leaders, employees and volunteers who are 21 years of age or older, and supervise the activities during 2024 to consent to emergency medical care, dental care, or both, for my child. As the parent or legal guardian of my child, I understand that the student mentioned above is voluntarily participating at their own risk. I hereby consent for my child to attend and will not hold Sager Creek Community Church, its leaders, employees, and volunteers responsible for any bodily injury or sickness incurred during the event. I understand that payment of $150 dollars for the event has to be made to Sager Creek Community Church on or before June 24, 2024

This address will receive a confirmation email

A deposit of $50 is due at registration (To pay in full use the drop down arrow below and select full payment). The deposit/payment will be refundable up to June 24^th of the current year. Registration will be closed 2 weeks prior to camp with the remaining payment due less the deposit. If you would like to pay with cash or check you will need to come by the office to register (1010 S Maxwell ST).

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

5th-8th Grade Camp 2024

Description

Please Fix the Following