Guys Campout

Name of Student

Student's Phone

Student's Date of Birth

Address

Parent/Guardian's Name

Parent/Guardian's Phone

Parent/Guardian Email

This address will receive a confirmation email

Secondary Emergency Contact and Phone Number

Health Insurance Carrier and Policy Number

Any Allergies/Disabilities?

I understand all reasonable safety precautions will be taken at all times by Faith Community Church and its agents during the event and activities. I authorize any treatment by an accredited hospital and/or physician deemed necessary for the subject of the release in case of an emergency. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold Faith Community Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form. I give permission for my son/daughter to attend.

cost- $15

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

May 29-30

FCC Youth Guys are invited to join us for a fun overnight camping trip at the Brown's Property in Boulder Creek.

Drop off: Friday May 29th at 5:00pm
Pick-Up: Saturday May 30th at 1pm

What to Bring:
*Water Bottle
*Sleeping bag or blankets
*pillow
*sleeping mat/pad (We are sleeping on the ground)
*Pajamas
*Toothbrush/paste
*Other personal toiletries if needed
*swim trunks and towel
*Change of Clothes
*Journal
*Bible

Guys Campout

Description

Please Fix the Following