Edgewood Church

We are so excited for EC Kidz Camp! Called For Power – 2 Timothy 1:7

When:
July 24th-26th from 9AM-4PM Daily!

Where:
Edgewood Church
430 Edgewood Road
Beaver Falls PA 15010

Who:
Children who have completed K-5th Grade
In other words Children going into 1st – 6th Grade
*Lunch and snacks provided daily

Important!
Please select the team your child would like to be on using the from below, please understand to keep the groups even, we limit the total number of children allowed in each group please select your preference’s in order on importance to you. We will do our best to accommodate your selections, but cannot guarantee them. Check out the team activities below.

Team Blue:

Volleyball, Fishing, Soccer, Hiking, Baseball

Team Green:

Fishing, Wood Craft, Hiking, Pottery, Outdoor Skills

Team Red:

Wood Craft, T-Shirt Craft, Pottery, Drama, Horse Camp (there is a suggested $10 additional donation for horse camp)

Team Yellow:

T-Shirt Craft, Volleyball, Drama, Soccer, Horse Camp (there is a suggested $10 additional donation for horse camp)

Sign-up your child today by completing the following form. Children will need to be dropped off at Edgewood Church no later than 9AM each day. Some activities will require off-site transportation provided by our camp staff.

Please enable JavaScript in your browser to complete this form.

Name of Child Participant *

First

Last

Date of Birth *

Last Completed Grade *Kindergarten1st2nd3rd4th5th

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Select T-Shirt Size *YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH XLADULT SMALLADULT MEDIUMADULT LARGE

Please Choose Your 1st Preference For Desired TeamBlue – Volleyball, Fishing, Soccer, Hiking, BaseballRed -Wood Craft, T-Shirt Craft, Pottery, Drama, Horse Camp (there is a suggested $10 additional donation for horse camp)Green – Fishing, Wood Craft, Hiking, Pottery, Outdoor SkillsYellow – T-Shirt Craft, Volleyball, Drama, Soccer, Horse Camp (there is a suggested $10 additional donation for horse camp)

We will make every effort to put your child on their teams in order of importance, but please know this is first come first serve. See above for list of activities.

Please Choose Your 2nd Preference For Desired Team *BlueGreenRedYellow

Please Choose Your 3rd Preference For Desired TeamBlueGreenRedYellow

Please Choose Your 4th Preference For Desired TeamBlueGreenRedYellow

Guardian Email *

Emergency Conact Name *

First

Last

Emergency Contact Phone # *

Please List all Allergies – Food/Medication etc… and Known Medical Conditions / Limitations *

Is there any pertinent medical information that we should be aware of and/or reasons why this person may not fully participate in all camp activities

Terms and Conditions *

• I have read, and I understand and agree to all terms and conditions stated below

Parental Permission : I hereby give my permission for my child ( Listed above on this form ) to participate in all activities of the EC Kidz Camp. I agree to assume all risk of injury, harm, or damage to my child’s person or property. By signing this form, I give my full permission to seek emergency treatment of my child under the age of 18. I also give my permission for my child to be transported by camp staff/volunteers to and from off-campus activities. I agree to indemnify and hold harmless all staff and participants from all liabilities, legal actions, damages, and claims of any kind or nature that may arise as a result of my child’s attendance at this Camp.

Guardian Signature *

Clear Signature

Coupon

Apply

Total Registration Fee

$0.00

A $30.00 non-refundable registration fee is required for attendance

Stripe Credit Card *

Card

Name on Card

Submit