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Kids Camp Student Registrationopenbiblecentral2022-05-19T15:35:24+00:00

2022 Kids Camp Registration

Step 1 of 2

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  • This form is REGISTRATION OF STUDENTS only.

    NO MONEY WILL BE COLLECTED. Finances should be turned in to the kids director of your local church.

    Regular Registration Deadline: July 14, 2021 (Afterwards $30/student will be added)

    Late Registration Deadline: July 23, 2021

  • This is needed for family discount tracking purposes.
  • Please list any and all medication.
  • Student 2

  • Please list any and all medication.
  • Student 3

  • Please list any and all medication.
  • Student 4

  • Please list any and all medication.
  • Student 5

  • Please list any and all medication.
  • Your Information

  • Family Insurance Information

  • Permission and Release

    PERMISSION TO PARTICIPATE: We (I) the parent(s) or legal guardian(s) of the student named on this form hereby grant our (my) permission for the student to participate fully in camp activities August 2-5, 2021.

    MEDICAL TREATMENT PERMISSION: We (I) authorize an adult camp staff member, in whose care the minor has been entrusted, to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital or emergency care facility. The undersigned shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned student pursuant to this authorization.

    PHOTO & VIDEO RELEASE: I understand and grant permission for the student's image and voice to be captured in photography, video or audio during camp, and that image shall be the property of Open Bible Central Region for promotional use.

  • Final Cost

    This is for informational purposes only. Please turn in finances to your kids' director. Price may increase or decrease based on local church decisions for transportation as well as fundraising.
  • $0.00

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Contact Us

1920 Bell Ave., Des Moines, IA 50315

info@openbiblecentral.org

515-282-6491

Insurance Partner

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