Tahoe Family Encampment camper Sign up

 Deadline: July 19th (or when spots are full)                                Cost: $100 (your spot is secured when payment is received)

Child's Name *
Child's Name
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Emergency Contact (other than parent) *
Emergency Contact (other than parent)
Emergency Contact Phone Number *
Emergency Contact Phone Number
Does your child have any health concerns we should be aware of? *
Liability Release *
I hereby give my consent for the child listed above to participate in the Tahoe Family Encampment camping trip. I agree to hold harmless the Woodward Park church of Christ, its employees, and the Tahoe Family Encampment staff from any and all liability from injury, claims, costs or loss of service which might be incurred by participation in or traveling to and from said programs, activities, or events. I, the undersigned parent or guardian authorize the leaders to secure any and all necessary treatment for the named child in the case of any emergency, illness or accident. I, the undersigned, specifically release Woodward Park church of Christ and any parent or staff from responsibility for any accident or illness that may occur during the week of Tahoe Family Encampment. I have read the above statements carefully and sign it voluntarily with full knowledge of its significance.