Woody Acres Junior / Teen Camp Registration Form

2018 Junior / Teen Camp Registration
Name: *
Date of Birth: *
Age: *
Gender:  Male;   Female;  *
Address: *
City: *
Province: *
Postal Code: *
Phone: *
E-mail Address: *
Parent/Guardian: *
Camper Lives With:  Father;   Mother;   Both;   Other;  *
Name(s) of person(s) authorized to pick up camper after camp: *
Name(s) of person(s) who camper should NOT be released to or visited by:
Is this your first time at Camp Woody Acres?  Yes;   No;  *
If yes, did someone invite you? (Please provide name):
How did you hear about Camp Woody Acres?
Camp T-Shirt: Please choose one of the following sizes:  Youth Small;   Youth Medium;   Youth Large;   Youth XL;   Adult Small;   Adult Medium;   Adult Large;  *
I will attend:  Junior Camp: August 12-19 (Ages 9-12);   Teen Camp: August 19-26 (Ages 13-16);  *
I consent to allow my child to participate in activities taking place at Camp Woody Acres. I realize that the activity program can involve risks and as such I release Camp Woody Acres, the Seventh-day Adventist Church in Newfoundland and Labrador and its officers and directors, and all camp staff and volunteers from any responsibility for any injuries sustained while involved in the activity program of the camp as well as incidents beyond the control of the camp staff. I grant permission for my child’s photo to appear in productions or publications promoting Camp Woody Acres and other children’s programming of the Seventh-day Adventist Church in Newfoundland and Labrador.
As Parent/Guardian, I Agree to the above consent:
A $15.00 non-refundable registration fee is required (This is part of the camp fee.) Balance is due upon arrival at camp. Upon form submission you will be re-directed to the registration fee submissions page.
Fields marked with an * are required.