Creative Camp 2023
June 12-16, 2023 | Complete the form to register for Creative Camp.
Child's Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Birthday
*
School
*
Grade recently completed.
*
Does your child have any allergies?
*
Are there any medical conditions we should be aware of?
*
Please list below two parent/guardians of this child and their respective phone numbers.
*
In the case of an emergency involving your child, do you grant permission for church authorities present to obtain a physician and/or to transport your child to the hospital?
*
Please select all that apply.
Yes
No
Do you hereby grant permission to the physician to treat your child in the case of an emergency even if you are not present?
*
Please select all that apply.
Yes
No
Do you give permission for pictures of your child to be used by the church for social media or future materials used for distribution?
*
Please select all that apply.
Yes
No
Would you like to volunteer?
*
Please select one option.
Yes, the week of camp.
Yes, prep work or clean up.
Not right now.
Not me, but I have a youth who is interested.
Would you like to be placed on Ormewood Church's email list?
*
Do you need scholarship assistance? (if you check yes, please select the scholarship amount in the payment drop down box below)
*
Please select one option.
Yes
No
Select your payment option.
Creative Camp Only ($60.00)
Scholarship Amount ($10.00)
Creative Camp Only ($60.00)
Scholarship Amount ($10.00)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
June 12-16, 2023
Complete the form to register for Creative Camp.
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