First United Methodist Church
Sunday, May 26, 2019
Growing and Sharing our Faith in God

July 8-12

Camp Wokanda

Kids entering 1st – 8th grade

 

Fees

 

Per Day:                              $12.00

Week:                                 $60.00

Family Discount:                $40.00 (for the week for each additional camper)

**Checks payable to: FUMC**

 

Must register by June 10th to guarantee your shirt size

 

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Liability Waiver

 

As a registered camper at Chillicothe FUMC day camp, I fully agree to abide by all rules and guidelines set forth by Chillicothe FUMC and Camp Wokanda. I know this is for my protection and overall safety. I understand that the following is unacceptable and will be grounds for dismissal: violence, bullying, cursing and leaving the group without a camp leader.              Campers Initials: _______________

 

 I also give permission to allow my physical representation to be used in pictures for promotional purposes. I fully defend Chillicothe FUMC and volunteers from all claims made and liabilities assessed against them as a result of the registered child’s activities. In case of an emergency, I fully understand that everything will be done to get in contact with a parent or guardian. If unable to be reached, I hereby give Chillicothe FUMC permission to act on behalf in the decision of seeking medical treatment in the event that such treatment may be necessary in order to keep the registered child’s health and welfare. I am giving my full permission to those performing any necessary medical treatment. I assume the financial responsibility and the risk for any injury resulting from the registered child’s activities at the Chillicothe FUMC day camp.

 

Parent/Guardian Signature: ___________________________________________________________

Date: ______________________

Camper Signature: ________________________________________________________

Date: ______________________