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  • Ms District Upci Youth Camp Registration Form 2010

Get Ms District Upci Youth Camp Registration Form 2010-2026

Tatives permission to provide emergency medical response and/or treatment as needed for any injury or illness that may occur while the participant is involved in camp activities and agree to release The Mississippi District UPCI and its representatives from all liability arising out of such treatment. In addition, as the participant s parent/legal guardian, I hereby give the undersigned participant permission to participate in any and all District Approved camp activities either on or off the.

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How to fill out the MS District UPCI Youth Camp Registration Form online

This guide provides clear and supportive instructions for completing the MS District UPCI Youth Camp Registration Form online. By following the steps outlined below, users can efficiently fill out the necessary information and ensure their registration for the camp.

Follow the steps to successfully complete the registration form

  1. Click ‘Get Form’ button to obtain the registration form and open it for editing.
  2. Begin by entering the camper's full name in the 'NAME' field. Ensure you use black ink if completing a physical form.
  3. In the 'PASTOR' field, provide the name of the pastor who is recommending the camper.
  4. Fill in the 'PREFERRED NAME FOR CAMP BADGE' section with the name the camper wishes to be displayed on their camp badge.
  5. The designated pastor must sign in the 'PASTOR’S RECOMMENDATION' section and provide their contact phone number and church name.
  6. If the recommending pastor is not affiliated with UPCI, a Mississippi UPC Presbyter’s signature is required in the specified area.
  7. Complete the 'MEDICAL INFORMATION AND CONSENT FORM' section by entering the camper’s legal name, age, sex, and date of birth.
  8. Provide the camper's address, city, and state with zip code.
  9. Fill in the names of the camper's parents or guardians, along with their home and work phone numbers.
  10. Respond to the medical questions regarding allergies, illnesses, and medications, indicating whether the camper has ongoing medical needs.
  11. Indicate if the camper is diabetic and specify details if applicable. Additionally, confirm recent tetanus shot status.
  12. List any health issues the camper may have and confirm if they have hospitalization insurance coverage.
  13. Emergency phone numbers should be noted and should include contacts in addition to the parents or guardians.
  14. Read the 'PARENTAL/LEGAL GUARDIAN CONSENT' section carefully. The parent or legal guardian must sign and date this section.
  15. The camper must sign the 'CAMPER AGREEMENT' acknowledging the rules and regulations of the camp.
  16. Finally, review all entered information for accuracy. Users can then save their changes, download the completed form, or print it out for submission.

Complete your MS District UPCI Youth Camp Registration Form online today to secure your place at camp!

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