Go Church PDX - Kid's Camp

Go Church PDX Kid's Camp

KID'S CAMP IS CURRENTLY FULL. IF YOU WOULD LIKE TO JOIN THE WAITING LIST, FILL OUT THE FORM BELOW.

Where: 6911 Se Flavel Street (Flavel Baptist Church is our host this year)
When: July 10th-14th from 9am–2pm
What: STEM projects, sport activities, singing, dancing, and optional Bible activities later in the day.
Who: Kids 1st-6th Grade
Cost: FREE

Parent First Name

Parent Last Name

Authorized Person for child pickup

Email Address

Phone Number

Emergency Contact Name and Phone Number

I am interested in being part of a weekly small group that focuses on spiritual discovery and friendship.
Yes
No

Child's Name (First, Last, Age, Gender)

Second Child's Name (First, Last, Age, Gender)

Third Child's Name (First, Last, Age, Gender)

Please let us know of any allergies, injuries, or special information we should be aware of

Go Church PDX is not responsible for the loss or theft of personal belongings. I understand and authorize that my child's (or children if more than one) image maybe photographed or filmed and used in video presentations, printed publications, or the Go Church internet website. Except in cases of gross negligence, I hereby take the following action for my child, myself, my executors, administrators, heir, next of kin, successors, and assigns: A) I waive, release, and discharge from any and all claims or liabilities for death or personal injury damages of any kind, which arise out of or relate to my child's participation in Go Church PDX activities, the following person, or entities. Go Church PDX, its' pastors, employees, and volunteers any of the above: B) I agree not to sue any of the persons or entities mentioned above for any of the claims of liabilities that I have waived, released, or discharged herein except in the case of gross negligence on the part of Go Church PDX, Go Church Staff and volunteers and: C) I indemnify and hold harmless the person or entities mentioned above from any claims made or liabilities assessed against them as a result of my child's actions. I hereby assume the risks of my child participating in all Go Church activities.

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Go Church PDX Kid's Camp

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