CO2 Camp July 28-30, 2023

July 29-30, 2023 | See info here: https://memorialchurch.net/co2/

Name

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Phone

Age

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17 18 19 20 21 22

Shirt Size

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I understand I may be swimming in a pool and in the Lake of the Ozarks. I am aware of risks involved with water challenges, blob, kayaks, etc. at the camp.

Please select one option.

I agree I do not agree

I understand I may be doing the high ropes course and I am doing it my own risk. There will be a certified ropes camp leader there at all times.

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I agree I do not agree

I understand that while precautions will be made for COVID 19 and other illnesses, I may be exposed to illness and that is a risk I accept.

Please select one option.

I agree I do not agree

Waiver: I release Memorial Baptist Church and Encounter Cove and volunteers from any injury that I sustain while on the CO2 trip July 28-30, 2023. I understand that I am responsible for any medical care required in the event of injury. This shall serve as my legal signature.

Please select all that apply.

I Agree

Participant Digital Signature

Payment: You may pay by cash or check to the church office M-Th 9-1 or Sunday mornings

Friday Evening-Sunday ($50) Saturday Evening-Sunday ($25) Pay by cash or check ($0) Request a scholarship ($0)

Amount

For office use only

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 29-30, 2023

See info here: https://memorialchurch.net/co2/

CO2 Camp July 28-30, 2023

Description

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