Central Heights Church | Abbotsford, BC - Kids Camp 2024 Registration Form

*Denotes Required Field * Title

Kids Camp 2024

Kids Camp is BACK!

READY, SET, MOVE!

Get ready to follow Jesus here, there and everywhere!

PARENT/GUARDIAN INFORMATION

* Parent(s)/Guardian First + Last Name(s):

* Address:

* City, Province, Postal Code:

Cell Phone: ( ) -

* Email:

EMERGENCY CONTACT

Please provide the name and phone number of someone we can contact in an emergency if you are unavailable.

* Name:

* Relationship to Kid:

* Phone: ( ) -

DROP OFF + PICK UP

Kids will need to be signed in and out each day. We will make note of parent names and the emergency contact names so our leaders are aware of who may pick up your kid(s). Is there anyone else you would like to include for possible pick up of your kids (eg. carpools, other relatives, etc)? Please list their name(s) and relationship to your kid(s).

KID INFORMATION

Fill in all information for number of kids you have in your family who are starting Grade 1 to 6 this fall and will be attending camp. There is space for 4 children on this form.

Kid #1

* First Name:

* Last Name:

* Gender:

* Grade entering in September 2024:

* Date of Birth:

* T-Shirt Size (Youth):

* BC Care Card Number:

* Allergies or Other Needs (if none, type "N/A"):

FRIEND REQUEST:
We will do our best to take all requests into consideration. However, we cannot make guarantees until we have received all registrations.

FRIEND REQUEST - First & Last Name:

Kid #2

First Name:

Last Name:

Gender:

Grade entering in September 2024:

Date of Birth:

T-Shirt Size (Youth):

BC Care Card Number:

Allergies or Other Needs (if none, type "N/A"):

FRIEND REQUEST:
We will do our best to take all requests into consideration. However, we cannot make guarantees until we have received all registrations.

FRIEND REQUEST - First & Last Name:

Kid #3

First Name:

Last Name:

Gender:

Grade entering in September 2024:

Date of Birth:

T-Shirt Size (Youth):

BC Care Card Number:

Allergies or Other Needs (if none, type "N/A"):

FRIEND REQUEST:
We will do our best to take all requests into consideration. However, we cannot make guarantees until we have received all registrations.

FRIEND REQUEST - First & Last Name:

Kid #4

First Name:

Last Name:

Gender:

Grade entering in September 2024:

Date of Birth:

T-Shirt Size (Youth):

BC Care Card Number:

Allergies or Other Needs (if none, type "N/A"):

FRIEND REQUEST:
We will do our best to take all requests into consideration. However, we cannot make guarantees until we have received all registrations.

FRIEND REQUEST - First & Last Name:

MEDICAL RELEASE + CONSENT

MEDICAL RELEASE: I release Central Heights Church and its Kids Camp Staff from any liabilities incurred by my child while at Kids Camp. In the event my child suffers sudden illness, accident, or injury, I give permission for any emergency treatment that is deemed necessary by a licensed physician. Every effort will be made to contact the parent or guardian prior to any emergency treatment.

* Do you agree with the medical release?

MEDIA CONSENT: Understanding that Central Heights Church does not include names of minors with their pictures in any promotional material, I consent to the use of pictures/videos taken of my kid at Kids Camp, for website, promotional, and reporting purposes.

* Do you give Central Heights Church media consent?

FINAL STEPS

* Are you currently involved with a church in Abbotsford? If yes, which one? If not, type "No".

PAYMENT INFORMATION

IMPORTANT PAYMENT INFO (please read):

To complete your registration, you will be taken to our payment page.

Fees:
Earlybird Registration: $40 per person until April 21
Registration after April 20 is $50 per person.

You will need to enter the correct amount on the next screen. On the payment screen you will also need to fill out your billing information (it would be a good idea to set up an account at that time so in the future you will have less info to input).

If you need to cancel your registration, we will be able to issue refunds via cheque until June 20. After that date, we will be unable to issue any refunds.

Be sure to choose "Kids Camp" as the account.