Summer School Shuttle for High School 1 Camp

Please add Students who will be participating in the summer school shuttle to ride to and from High School Camp (June 2-6) camp for dinner and main session each evening. Please do not add friends or guests who do not reside at your household. Once finished, you will be ask for a $40 payment on the next page to cover the cost of food and fuel.

* Student First Name

* Student Last Name

* Student Gender

* Student Birth Date

* Student Address

* Student City

* Student State/Province

* Student Zip/Postal Code

Student Email

Student Mobile Phone

* Grade (as of fall 2023)

* Days you will be riding the Summer School Shuttle (Mark all that Apply)

* I recognize that this is a Christian camp, that the Bible will be studied, and that camp conduct will be expected that is consistent with Christian Values.

* I give my permission for appropriate photographs/videos to be used for future Maranatha Bible Camp promotional purposes.

Medical Information - Please list below with specifics any medical information for your child.

- Give as much information as possible. You may leave fields blank if they do not apply.

Allergies

Special or medical needs, allergies, or other concerns, including dietary or physical limitations

Medications - List medication name, dosage, time of day taken & reason

* Which over-the-counter treatments and medications is your child ALLOWED to have, as deemed necessary by camp protocol?

* Student Emergency Contact

* Student Emergency Phone #

READ THE RELEASE FORM View Waiver

- Click here to read and review the release form

* Digital Signature - I have read the recreation waiver and important information at the link above.

Payment Information: After adding all campers, please "register/pay now".

- Your total for all campers will be charged in one transaction. Ensure the email listed on the next page is the email where you would like the confirmation and receipt sent.

Medical Information - Please list below with specifics any medical information for your child.

READ THE RELEASE FORM View Waiver

Payment Information: After adding all campers, please "register/pay now".

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