Senior High and Next Step Registration Form

2024 - Senior High and Next Step Registration Form

Name*
Date of Birth*
MM
DD
YYYY
Address*
Street Address City State ZIP Code
Grade In Fall*
Gender*
Adult T-shirt size*
Where will you be staying during the camp?*
- Dorm
- Campground
- Cottage
If Cottage or Other:
Address
Contact Person
Phone Number
Cost for Program
- Program Fee $60
- Dorm Fee $40
- 9-Day Meal Plan $110
- One-Day Meal Plan $16
Release Information (Camper's staying in dorm only)
Estimated date and time of departure*
Your child will be waiting for you at the dorms with a counselor.
Who is the child to be released to?*
Is there anyone to whom your child cannot be released to?*
Publicity Release
ERC has my permission to use my child’s photograph in ERC publicity. No names or addresses will be used to identify the child.
Eletronic Parent/Guardian's Signature*
I understand by typing my full name above that it constitutes a legal signature confirming that I acknowledge and agree to the terms above.
Youth Covenant Information
The Eaton Rapids Campmeeting Youth Program has been developed to provide inspiration and opportunity for youth to experience a personal relationship with the Lord Jesus Christ. To assure the safety and well being of every person on the camp grounds, to meet the guidelines of the State of Michigan, and to fulfill the mission of the camp, the ERC Board of Directors has established the Eaton Rapids Campmeeting Youth Guidelines and requires that all participants in the youth program abide by these guidelines during Campmeeting.

Covenant
My parents or guardians and I have read the ERC Camper Guidelines. I am willing to follow all of the guidelines and staff directives. I understand that if I do not abide by these rules, I will forfeit my opportunity to take part in the ERC Youth Program and my parents or guardians will be required to transport me from the campgrounds.
Youth Signature*
I understand by typing my full name above that it constitutes a legal signature confirming that I acknowledge and agree to the terms above.
Date*
Date Format: MM slash DD slash YYYY
Parent/Guardian Signature*
I understand by typing my full name above that it constitutes a legal signature confirming that I acknowledge and agree to the terms above.
Date*
Date Format: MM slash DD slash YYYY
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Name
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Senior High and Next Step Registration Form

2024 - Senior High and Next Step Registration Form

Cost for Program

Release Information (Camper's staying in dorm only)

Publicity Release

Youth Covenant Information