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Interim Lead Pastor - John Booko
Pastor Dave Weir - Student Ministries
Jennifer Courtland - Children's & Family Ministries
Sam Kraut - Worship Arts Director
Diane Rhines - Business Manager
Amy Stone - Admin Assist.
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Route 252 Kids
Mega Sports Camp
Kids Hope USA
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Register Today For Mega Sports Camp 2017!
**PLEASE FILL OUT 1 FORM PER CHILD**
**PLEASE NOTE WE DO NOT HAVE A PRESCHOOL PROGRAM. IN ORDER TO PARTICIPATE, CHILD MUST BE AT LEAST 5 YEARS OLD
Last School Grade Completing
T Shirt Size
Friend(s) to be grouped with
Preferred Phone #
Special Concerns (allergies, medications, medical conditions, etc.)
TO BE COMPLETED ONLY IF SOMEONE OTHER THAN GUARDIAN LISTED ABOVE...
In Case of Emergency, contact
Child Can Be Released To (Name & Relationship)
Sport Choice (Choose just one for entire camp)
Soccer (Bring a soccer ball w/ name & wear shin guards)
Basketball (Bring your own ball with your name on it)
Baseball (Bring a ball and glove labeled with your name)
Dance/Cheer (Wear comfortable shoes)
Drama/Arts (Bring your creative talents :)
Karate (Wear clothes that are easy to move in.)
I, the undersigned parent/guardian, grant permission for my son/daughter, named above, to attend Mega Sports Camp hosted by Journey Ministries at Hahn School. In order that my child may receive proper medical treatment in the event that he/she gets ill or injured during the camp, I hereby authorize the camp staff to obtain or provide medical treatment for my child, and I hereby hold the camp staff and Journey Ministries harmless in the exercise of this authority. I further understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daughter for any injury/illness that he/she may sustain at the camp. Understanding that my child is assuming the risk of injury or illness during MSC, I further release Journey Ministries and its representatives from any claims for personal illness or injury that he/she may sustain during the camp. Photo/Video Consent is given with my child’s involvement in this event. These photos/videos may be used for Journey Ministries publicity purposes.
Consent of parent or guardian
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above release of liability.
102 S. Main St.
Davison, MI 48423
Hahn Int. School
500 S. Dayton St.
Davison, MI 48423
Sunday @ 10 am
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