Music Camp 2019 Registration

Date: July 15-19, 2019



Instruments Rental and T-shirt fee: $40 for each child enrolled



Limited capacity - spaces go quickly! Please complete *all* the required information to ensure that your registration is complete. A representative from Hope Evangelical Lutheran Church will contact you in July to confirm attendance.
Caregivers Name(s) (first & last):*
Address (Number, Street, City, Apt#):*
Postal Code:*
Phone Number:*
E-mail Address:*
Are you currently part of a church? (Y/N) If yes, where?*
How did you first find out about this camp?*
- Children are responsible for their own lunches. (Note: Microwaves will not be available!) Snacks will be provided.
- Children must wear running shoes.
- A t-shirt will be provided and the t-shirt must be worn every day of camp.
- In order to reserve your spot, please ensure to submit the full payment online or at the church.
- Registration fees are nonrefundable.
Please list any allergies, restrictions and/or health concerns (eg asthma; nose bleeds, etc) that we should be aware of for each child registered; if there are no allergies, restrictions or health concerns, please indicate Not Applicable*
Child 1 (first & last name):*
Date of Birth: Day, Month, Year (ages 5-14 only)*
T-Shirt Size:*
Child 2 (first & last name):
Date of Birth: Day, Month, Year (ages 5-14 only)
T-Shirt Size:
Child 3 (first & last name):
Date of Birth: Day, Month, Year (ages 5-14 only)
T-Shirt Size:
Child 4 (first & last name):
Date of Birth: Day, Month, Year (ages 5-14 only)
T-Shirt Size:
Children's Musical Background / Instrument (please give brief explanation):
Emergency Contact Name:*
Emergency Contact Phone:*
Instruments Rental and T-shirt fee is $40 per *each* child enrolled. The fee can be paid online in advance or in person at Hope Evangelical Lutheran Church on the first day of camp.*
 Pay Online (instructions will be emailed to you)
 Pay in-person at camp on July 15, 2019
IMPORTANT! PLEASE READ CAREFULLY BEFORE GIVING CONSENT. THE PARTICIPANT IS RESPONSIBLE FOR HIS OR HER OWN MEDICAL COVERAGE. NOTICE OF WARNING: There is a potential risk in any public gathering and we have tried to create a safe environment. The leaders have established rules concerning proper conduct concerning the children and their interaction with other children. AGREEMENT: I have read and understand the policies and the risk involved. I hereby agree that my children will follow all rules for good order and safety during this camp. I agree and understand that neither Hope Evangelical Lutheran Church, nor any of the volunteers involved are liable for any injuries received while participating or playing in the activity for which I am registering herein. I agree that I shall make no claim and bring no action, suit, or proceeding for any and all damages, losses, liabilities, or costs in any manner suffered or incurred as a result of my participating in the activity for which I am registering herein, and I hereby release Hope Evangelical Lutheran Church and its officers, directors, and pastor, from any and all damages, liabilities, or costs in this regard. PHOTOGRAPHS AND VIDEO: I understand that any pictures or video footage taken of my child by church personnel may be used in future promotion material for the church music camp. In addition I agree to pay a non-refundable $40 fee per registered child.
IF YOU AGREE TO ALL THE TERMS AND CONDITIONS ABOVE AND STILL WISH TO SIGNUP FOR THE HOPE EVANGELICAL LUTHERAN CHURCH MUSIC CAMP, THEN ENTER YOUR FIRST AND LAST NAME:*


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