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300 Chisholm Place | Plano, TX 75075 | Sunday Service @ 10:30 AM
   Registration deadline is Friday, May 7, 2021

CAMP PRE-REGISTRATION

I am granting my child permission to attend camp for the session by filling out the information below.

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COVID-19 REQUIREMENTS: I understand a Rapid COVID exam will be required for each student prior to boarding the bus. Proof of the results will need to be provided. The test results must have been within 5 days of departure for the trip. Temps will be taken for each student. All leaders travelling with the students to camp must be fully vaccinated and provide proof of a negative Rapid COVID test prior to boarding the bus.

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PARENT INFORMATION

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STUDENT INFORMATION

STUDENT INFORMATION

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MEDICAL INFORMATION
Please provide information as requested below, as it may be needed in case of an emergency. This information does not modify or replace the Stoney Creek final camper form. THIS INFORMATION WILL REMAIN CONFIDENTIAL. IT WILL STAY WITH THE AMITY LEADER FOR THE DURATION OF THE TRIP.

Does your student require any of the following?

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TO ANY DOCTOR OR HOSPITAL
I herby authorize the release of my child’s pertinent medical information to the appropriate professional staff. I give permission to the physician or hospital to secure treatment for him/her and to order medications, injections, and anesthesia, or surgery for my child, as named above, in case of emergency. The signature below constitutes authorization to perform any necessary treatment for my child during this trip.

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HEALTH INSURANCE INFORMATION

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The above information, including the camper’s gender and age at the time of camp, is accurate.

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PAYMENT INFORMATION

Camper spots are not guaranteed until the balance is paid in full.

$75 Pre-Registration Fee is required to reserve your spot

The final $210 payment to complete the full camp cost of $285 is due by May 31, 2021.

After submitting this form you will receive a confirmation with the link to the payment site.

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