Camp 2020 Registration

Child's Name*
First Last
Current Grade Level*
Shirt Size*
Parent or Guardian Name*
First Last
Parent or Guardian Phone*
Parent or Guardian Email*
Enter Email Confirm Email
Permission to Attend (REQUIRED)*
- I grant permission for my child to attend Camp 2020
Permission Section
Please read each permission item below, and check off each box to indicate that you've read and agree to the terms as they pertain to this event ("the Activity" as referred to below).
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- I certify that I am cognizant of the inherent dangers associated with participation in the Activity and with the fact that participating in the Activity may take place outside of, or off of, church premises.
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- I understand and agree that neither the Cedar Valley Baptist Church (known as CVBC), nor its trustees, representatives, instructors nor agents may be held liable in any way for any occurrence in connection with my child’s participating in the Activity which may result in injury, harm or other damages to me or my family.
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- As a part of the consideration for being allowed to enroll and participate in the Activity, I hereby personally assume all risks in connection with my child’s participation in the Activity. I further release the CVBC, its trustees, instructors, agents and representatives for any injury or damage which may befall my child while my child is enrolled in or participating in the Activity. I further agree to save and hold harmless the CVBC, its trustees, instructors, agents and representatives from any claim by me or my family, estate, heirs or assigns arising out of my child’s enrollment and participation in the Activity. I also authorize the CVBC to render or obtain such emergency medical care or treatment as may be necessary should any injury, harm or accident occur to my child while participating in the Activity.
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- I further state that I am of lawful age and legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not a mere recital; and that I signed this document of my own free act and volition. I further state and acknowledge that I have fully informed myself of the contents of this affirmation and release by reading it before I have signed it.
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- I have executed this affirmation and release on the date listed below:
Today's Date (read only)
Signature*
Please sign above with your mouse, touchpad, or touchscreen-enabled device.
Registration for Camp 2020 is $120*
How do you want to make your payment?
- Credit/Debit Card - Online
- Check - Mail us your payment
Credit Card Payment Section
Camp 2020 Registration*
Price: $120.00
Please provide your payment information below.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Pay By Check Information
After submitting this form, please send your $35 check, payable to Cedar Valley Baptist Church, along with a copy of the email sent to the parent/guardian referenced above to:

Cedar Valley Baptist Church
Attn: Jacob Taylor
P.O. Box 909
Elgin, TX 78621
Current Year (Admin Reference Only)
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DD
YYYY

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Permission Section

Credit Card Payment Section

Pay By Check Information