UNION BAPTIST CHURCH
SUMMER CAMP REGISTRATION FORM
Union Baptist Church does not discriminate based on race, color, sex, religion, or national origin. Union Baptist Church and staff reserves the right at its sole discretion to refuse an application or dismiss a child from camp. No refund will be made of fees if the child has attended any portion of the camping period. I understand and accept these guidelines Parent/Guardian's Signature: I give Union Baptist Church permission to photograph and/or videotape my child for public relations and/or marketing purposes during any time of camp activities and field trips. I give permission for Union Baptist Church to transport my child off camp property for the purpose of field trips and/or medical care. I understand that a schedule of events will be available to me and that all events are subject to change due to weather and/or scheduling conflicts without notice. I authorize the camp management to act as the agent of the parents in any emergency or to administer basic first aid for the health and welfare of the camper involved. I am responsible for the expenses involved if the services of a physician or hospital are required. Please request a waiver for persons requesting exemption from medical treatment. Hospital preferred By signing, I agree to adhere to all the Policies and Procedures set for by Union Baptist Church.