Summer Camp 09

_____________________ Parent or Legal Guardian ---------------Photography Release

_______ Date

The undersigned gives permission to Harbor Covenant Church to photograph his or her son or daughter and use the resulting photographs for any purpose that Harbor Covenant Church deems proper (for clarification call Blake).

_____________________ Parent or Legal Guardian

_______ Date

Harbor Covenant Church, 5601 Gustafson Dr. NW Gig Harbor, WA 98335 (253) 851-8450

What to Bring:

Bedding is provided (sleeping bag and pillow are not necessary) Closed toe shoes, money (two meals on the road & camp snack shack), Bible, warm clothes, toiletries, towel, one piece swimsuit, friends, camera, & passport!

Do NOT bring:

An IPOD, Mp3 player, CD Player, or any other media device that requires headphones. Also, don’t bring any expensive personal items, weapons, drugs, or alcohol. If you have a question about an item you would like to bring along, please ask your youth pastor!

To sign up:

Complete the registration form, attach payment ($75.00 non-refundable deposit) and then place in the lock box outside the pod. If you are going to our mission trip in Vancouver, just turn in the registration. The depoist and amount of the trip is included in the Vancouver package.

June 22-26

I give permission for ________________ to travel to “Summer Camp” with Harbor Covenant Church (Gig Harbor, WA) June 23-27, 2008. I hereby release Harbor Covenant Church, its staff and sponsors, from responsibility and liability for any injury and illness that my child may sustain during this activity. In the event of an emergency, I hereby authorize an adult leader of this activity, as an agent for me, to consent to any x-ray examination; medical, dental or surgical diagnosis; treatment; and hospital care as advised by a physician, surgeon or dentist (as appropriate) as listened to practice under the laws of the state/province where the services are rendered, either at the doctor’s office or in any hospital. I expect to be contacted as soon as possible. I also understand that if my child is disruptive, brings alcohol, drugs, weapons, causes any injury to themselves or others, or engages in any unacceptable behavior, I will be responsible to remove my child from this activity and transport them immediately back to Gig Harbor.

Summer Camp at The Cape!

Medical Release

Does hanging out with a bunch of friends on a island just relaxing and having fun sound good or what?! This Summer we are returning for our third year in a row to Capernwray Harbour on Thetis Island (off the East Coast of Vancouver Island) in beautiful British Columbia. We will be relaxing, having fun, enjoying good food, good company, and experiencing God in a new and challenging way. This is a great trip to bring your friends to!

What you need to know When: June 22-26 Times: Leave HCC 4:30am, Mon., June 22. Return to HCC 11:00pm Friday, June 26. You need a passport! Early Bird Rate: $299 (due by 12/31/08) Regular Rate: $329 (due by 3/31/09) Better Late than Never: $349 (after 4/1/09) Passport Info: It may take up to 8 weeks to get a passport and passports are mandatory for the trip, no exceptions. So please take take care of this immediately.

Night Games Field Games Team Competition Wakeboarding Kayaking Ropes Course And Climbing Wall Bike Jump More

Registration Name________________________________ Age _______ Grade _________ Gender____ Shirt Size (please circle one): S

M

L

XL

Address ______________________________ City ____________________ Zip __________ Parents’ Names ________________________ Phone # ______________ Alternate Contact _______________________ Relation ______________________________ Phone # ____________ Work # ___________ MEDICAL INFORMATION: Allergies: _____________________________ Medication Being Taken: _________________ _____________________________________ _____________________________________ Physical Handicaps or Limitations: __________ _____________________________________ _____________________________________ Medical Insurance Company: ______________ _____________________________________ Policy Number: ________________________ Member’s Name: ______________________ Primary Physician: _____________________ Physician’s Phone# ____________________

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