1. 1 Registration Form
  2. 2 Review
  3. 3 Payment Details
  4. 4 Receipt

= Required

$150.00 (USD)

All Saints Church Summer Adventure

Jul 22-26, 2019 9:00 a.m.-2:00 p.m. $150 Registration Fee

In case of emergency and the above persons can not be contacted, please notify:

Medical Authorization and Health History

I/we the parent(s) or legal guardian(s) of the child/ren listed below, hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any licensed medical personnel on staff of any licensed hospital.
This authorization is given in advance of any specific diagnosis, treatment, or hospital care required, but is given to provide authority and power to render care, which is deemed advisable in the best judgment of the physician.
AND please provide the following: (Child #1)
AND please provide the following: (Child #2)
AND please provide the following: (Child #3)
The registration fee is $150 (whole week) OR $35 per day; additional registered siblings receive a $50 discount off the weekly fee.

Community Agreement for All Participants

1) TO conduct ourselves as representatives of the All Saints community and its values, respecting each other’s differences and contributions.
2) TO use language and behave in a manner that is acceptable to other participants and adults.
3) TO honor the needs and property of other children and adults.
4) TO respect the property of the church and other facilities we use, which includes not hanging on or climbing trees, not using skateboards, scooters or skates on the property, and not engaging in any destructive behavior.
5) TO communicate our needs, or the observed needs of others, to group leaders.
6) TO participate in community activities, including chores.
7) TO remain on campus under adult supervision until given parental permission to leave.
We understand these agreements are designed to provide a safe and supportive community at all events. We also understand that if a child breaks one of these agreements, s/he will have broken the trust of the community, and may be asked to leave at the expense of the child’s parent(s)/guardian(s).

Media Release

I hereby give permission for this parish to use my child’s photograph (without their name) in parish publications, on the parish website and in news releases in regard to any parish sponsored activity. [Please enter the names of all children below who you would like to give permissions for.]