WAIVER FORM- STEP 1

Whether it be our Camp Classes, Summer Camp, Retreats, or fun camp activities, your child's safety is very important to us and is not something we take lightly. Please read and full out your child's waiver form before coming to camp events. This form is required for them to participate in camp activities.

WAIVER

CAMPER INFORMATION - STEP 2

Please fill out information below for your child(ren). Once waiver form above is submitted, information below filled out and payment received, your child is fully registered and ready for camp!

Parent/ Guardian Name

Parent Email

Phone

Parent Mailing Address

Child 1 Name

Child 1 age

Any allergies or medical conditions we should be aware of for child 1?

Child 2 Name

Child 2 age

Any allergies or medical conditions we should be aware of for child 2?

Child 3 Name

Child 3 age

Any allergies or medical conditions we should be aware of for child 3?

I understand that my camper will be photographed and filmed during camp. These images will be used for future promotion of Camp GLOW on social media and other web based advertising.

I understand that a packed lunch is required each day

Emergency Contact #1 Name, Relationship and Phone Number

Emergency Contact #2 Name, Relationship and Phone Number

In the event of a very serious emergency, using our best judgement, we will call 911 before calling emergency contacts.

I understand and you have my permission

I understand that my registration is complete upon signing the liability waiver and submitting payment in full

yes

Thanks for submitting! We are so excited and will be in touch soon!

WAIVER FORM- STEP 1

CAMPER INFORMATION - STEP 2

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