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Summer Camp 2024

Camp Schedule
2024

JR Youth Camp

Drop Off Aug 2 1:00 PM

Pick Up Aug 5 12:30 PM

SR Youth Camp

Drop Off Aug 5 2:00 PM

Pick Up Aug 10 12:00 PM

Registration Deadline June 30 2023

Cost: $100 per Camper

Additional Cost: Makwa Lake Provincial Park Entry (Daily & Weekend Passes available,

Mention you are there to drop off and it will be free!)

Location: Silver Birch Bible Camp, Mill Road, Loon Lake SK

We can't wait to see you at Summer Camp!

Camper First name

Camper Last name

Camper's Birthdate

Choose your Camp

JR Youth (7-11)

SR Youth (12-17)

Camper's Address

Parent's Email

Parent's Name & Emergency Contact Name

Parent Phone Number

Emergency Phone Number

Any Allergies?

Yes, listed below

No

Is this your first time attending?

Yes

No

List Allergies or Food Requirements

Anything we should know about this camper?

Cost: $100 per camper
Pay in Person at City Church Lloyd or eTransfer finance@citychurchlloyd.com

MINOR (CHILD) PHOTO RELEASE
I, the parent/legal guardian of the camper named above grant City Church Lloyd my permission to use photographs for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand no royalty, fee, or other compensation shall become payable to me by reason of such use.

MEDICAL CONSENT AGREEMENT
I, the parent/legal guardian named above authorize the Ministry Personnel of City Church Lloyd to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant (camper) named above. I undertake and agree to indemnify and hold blameless the Ministry Personnel, City Church Llloyd, it's pastors and board from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of City Church Lloyd as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or travelling to events of the City Church Lloyd.

I accept the Minor Photo Release

I accept the Medical Consent Agreement

I want to subscribe to email updates from City Church Lloyd

Your Signature

Thanks for registering. See you there!

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