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Junior High Summer Camp 2009

July 15th - July 18th

@ Gallego Home

Camp registration costs $65 per student.
Please make all checks payable to:

Lakeside Bible Church
18940 Freeport Dr.
Montgomery, TX 77356

Memo: "Jr. High Summer Camp"

Lakeside Bible Church
18940 Freeport Dr. | Montgomery TX 77356 | 936.582.1977

Registration & Medical Consent Form

Please complete a separate registration for each student attending camp.

  • Student Information

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  • Guardian Information

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  • Emergency Notification

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  • Health History












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  • By clicking register, I hereby authorize the participation of the above-named child in activities of Founders Baptist Church, Lakeside Bible Church, Grace Bible Church. In consideration of Founders Baptist Church, Lakeside Bible Church, Grace Bible Church, providing these activities, I on behalf of myself and the other parents and guardians of the minor do hereby release all participating churches, their agents, pastors and members of their Board of Elders from all claims and causes of action by reason of any injury which may be sustained as a result of these church activities, whether on or off the church premises or on the way to or from these activities. I agree to direct my child to cooperate and to conform with directions and instructions of personnel of the organization in charge of these activities. Should my child not do so, and should those leading an activity believe it necessary, I will come and remove my child from the activity as soon as possible after being called by a staff representative for that purpose. I understand and agree to leadership having access to my child's room when necessary. I hereby give my permission to the physician, nurse, or dentist selected by participating churches to secure medical or dental aid as required for illness or injury under a physician's orders, including transportation to and from the necessary facilities. As a participant, I understand the participating churches are not obligated to carry an insurance to cover those medical and/or dental expenses. If such insurance is carried, coverage will be provided only for expenses in excess of the limits of the participant's insurance. I understand that my personal insurance is my primary coverage.