EC KIDZ Camp

We are so excited for EC Kidz Camp!

When:
August 3rd-5th 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

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.

Name of Child Participant *

First

Last

Date of Birth *

Last Completed Grade *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Select T-Shirt Size *

Please select Your Child's Thursday Morning Activity *

Please select Your Child's Thursday Afternoon Activity *

Please select Your Child's Friday Morning Activity *

Please select Your Child's Friday Afternoon Activity *

Please select Your Child's Saturday Morning Activity *

Please note there is a suggested $10 donation to Redemption Youth Ranch for the horse camp activity. We’re sorry the horse riding activity is full

Please select Your Child's Saturday Afternoon Activity *

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 *

Are you ( The Person Completing this form ) a registered Volunteer for Kids Camp? *

Registered Volunteers have been vetted and selected by Pastor Ron in advance, and have had all requisite Criminal background checks.

Stripe Credit Card *

Card

Name on Card