Galilee Baptist Church – A place with a passion to serve!

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"Thy word is a lamp unto my feet, and a light unto my path."

Winter Teen Camp

December 27th - 30th

Winter Camp Application

Please fill out an application for every individual attending. The cost is $65 per person. Pastor or youth director may attend free of charge.

Name *

First

Last

Gender

Male
Female

Address & Phone

Emergency Contact Name and Number

Age (must be 12 years old to attend)

Pastor's Name

Church Name

Church Address

Insurance Information

Medications and/or Allergies

Camper Signature

By signing this you have admitted to reading and understanding the rules and dress code posted above. You agree to follow all rules and with respect acknowledge the dress code.

Parent or Guardian Signature

By signing this you have admitted to reading and understanding the rules and dress code posted above. You agree that your child will follow all rules and with respect acknowledge the dress code.

COVID-19 Liability Waiver

I understand that I have the risk of contracting COVID-19.
I agree to obey all rules to decrease the spread of COVID-19.
I agree to NOT attend camp if I have been diagnosed with COVID-19 within 14 days of camp or am awaiting lab results to diagnose COVID-19.
I agree to NOT attend camp if I am experiencing symptoms of COVID-19.

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