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Legacy Camp Retreat 2024 Register
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What to Bring
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Home
Legacy Camp Retreat 2024 Register
Donate
Q&A
Rules
What to Bring
Volunteer
What We Believe
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Please fill out the form below to Register
Please fill out the form below to Register
Name
Email
Phone
Full Address
Within What Age Bracket Do You Fall?
30-39
40-49
50-59
60+
Emergency Contact Name
Emergency Contact Phone
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IN CASE OF EMERGENCY In Case of emergency, I understand that every effort will be made to contact my emergency contact. In the event that they cannot be reached in an emergency situation, I herby give permission to licensed emergency and healthcare personnel to provide treatment, services, and transport necessary to maintain the health of myself. In the event medication, medical advice, treatment, and/or equipment are required, I agree to accept financial responsibility for fees in excess of Provincial and or private medical insurance. I agree that the information on this form may be disclosed to such emergency and health care personnel. In the event of illness, accident, emergency, or any other circumstances requiring medical treatment, such treatment may be procured for the participant without legal or financial obligation to St Croix Christian Camp All known health issues of myself have been stated to the camp. I will notify the camp if I was exposed to any infectious or communicable diseases prior to arriving at camp.
I agree with the Emergency Policy Above.
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Do You Attend Church?
Yes
No
If Yes, which Church?
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Do you have any allergies?
Yes
No
List any allergies
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I hereby approve and confirm his or her participation, and release St Croix Christian Camp, its Directors, the management, staff, agents, employees, or any persons associated with St Croix Christian Camp Inc., from any claim or action for any injury or injuries that may be received by the said child while attending St Croix Christian Camp, and/or any normal camp activities associated with St Croix Christian Camp including those off of the property of St Croix Christian Camp. I agree to permit the reasonable use of photos and videos or other pictures of applicant camper in promoting the camp or camp activities or programs.
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How Would You Like to Pay?
Cash (If selected Please bring the $40 on the Day of Camp and do not proceed to checkout on the next page)
Online (Please Choose 30+ Journey Day Camp on the next page and proceed with checkout)
Submit