YOUTH SUMMER CAMP

Parent/Guardian Name *

Parent/Guardian Phone Number *

To be used in case of emergency.

Youth Name - Age - Grade *

Youth Phone Number (optional)

We send out encouraging text messages to the youth throughout the week as well as reminders of what is going on.

Youth Tshirt Size *

Is your Youth allergic to anything? *

We will be traveling on a bus, do you give GlorylandWaco permission to transport your youth to camp? *

Does your youth attend church anywhere other than GlorylandWaco? (If so, please list the church) *

If you answered YES to the above question, please note that NONmembers of GlorylandWaco are required to pay an additional $25 for camp fees. *

Yes, I understand and agree to the additional cost of $25 for my youth.
I am a member of GlorylandWaco

Picture release:

I understand a deposit of $30 is to be paid to Glorylandwaco by APRIL 19 (early bird) towards $210 price OR $30 by MAY 24 (regular price) towards $240.

Yes I understand and will pay the deposit on time

REFUNDS WILL NOT BE GIVEN ONCE DEPOSITS HAVE BEEN TURNED IN! (We understand Emergencies happen, should something come up you will need to notify Pastor Jeanie at the church.) *

Yes, I understand refunds are not given once the deposit has been made.

Please understand once deposits have been turned in, GlorylandWaco is responsible to cover the full amount.

By checking this box, I am agreeing to pay the amount in full for my youth to attend Summer Camp with GlorylandWaco. In the case of an emergency I know to contact Pastor Jeanie at the church but it is NOT a guarantee I will get my money back. Once I pay my deposit, I understand and agree that I AM RESPONSIBLE TO PAY THE FULL AMOUNT WHETHER MY YOUTH CAN ATTEND OR NOT. *

Yes, I agree & understand

Any additional comments or concerns:

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