REGISTRATION FORM

PLEASE FILL OUT THE FORM BELOW FOR GIRLS CAMP ONLY

CAMP OF CHAMPIONS GIRLS CAMP

Participant First Name

Participant Last Name

Parent/Guardian FULL Name

This will also serve as an emergency contact.

Parent/Guardian Email

Parent/Guardian Phone

Alternative phone number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Participant Birthday

Month

Day

Year

Please list any medical conditions, and/or medication that will be need to be administered during your child's time at camp. If none please write "N/A"

Events

Barrel Racing

Pole Bending

Goat Tying

Break Away

Skill Level

Beginner

Intermediate

Advanced

T-Shirt Size

STALLS

Participants may find it necessary, because of distance, to come the night before camp begins. You may check in your horse Wednesday, June 3rd. However, there will be NO OVER NIGHT ACCOMMODATIONS for participants on Wednesday night. If you plan to bring your horse Wednesday night you will be able to check it in from 6pm to 9pm. Please include that night in your selection below.

Please Select the number of NIGHTS you will need a stall. If you do NOT need a stall please select 0. You are allowed to check-in horses the night before camp begins.

Stalls are available on the premises that can be reserved at $25 per night. Only ONE horse is allowed per participant.

Information on what time you can check-in the night before will be on the schedule in your document packet.

Below you can pay your deposit only or pay for camp in full at this time. At Check-In on the first day of camp you will be responsible for paying for your stall fees, and the remainder of your camp fees if you do not pay in full at this time.

YOU AT LEAST MUST PAY THE DEPOSIT for this form to be valid.

PLEASE ONLY CHOOSE ONE PAYMENT PREFERENCE.

Camp Fee Payment Options

Deposit Only$100

Camp Fee Paid in Full $275

If you are choosing to pay in full you do not have to pay a deposit, at check-in you will only owe for your stalls if you have reserved stalls.

If you are paying a deposit, you will owe $175, and for your stalls if you reserved any.

Baptism Preference

On the last day of camp we have a baptism service for those desiring to be baptized as a result of their salvation. It is one of the highlights of the Camp for instructors, parents and campers. We would never undermine your authority as a parent, so we would need your permission to baptize your child should he/she make a salvation decision.

AGREEMENTS

I understand that I must notify Trinity Fellowship at least 5 working days before camp in order to be eligible for a refund. I understand there is a $10 handling fee for all cancellations and refunds.

I give permission to Camp of Champions Staff to administer medications to my child, as needed, during camp.

-I understand this includes :

Prescription medications I have provided.

Over the counter medication that is provided by the Camp.

Ex: allergy medication, pain relievers, or other

routine medication.

I understand that as a parent or family member I am not allowed to stay on the Trinity Fellowship Campus during Camp. I understand only instructors and Camp of Champions staff are allowed to stay on Campus.

I agree that Camp of Champions Staff is allowed to photograph and video my participant for promotional purposes

I agree for pictures of my participant can be used on Trinity Outreach Project, INC Facebook Pages

I give permission for my child to be transported by camp staff to and from the swimming pool during camp.

I agree that in the event of significant weather conditions my child may be bussed to an offsite arena for instruction if the Trinity Fellowship Facilities have been deemed as unusable for camp.

Participant FULL Name

Parent/Guardian FULL Name

I acknowledge that I have voluntarily applied to participate in the activities listed above at Trinity Outreach, INC. in Sayre, Oklahoma. I AM AWARE THAT THE ACTIVITY MARKED ABOVE IS A HAZARDOUS ACTIVITY AND AM VOLUNTARILY PARTICIPATING IN THIS ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED AND AGREE TO ACCEPT ANY AND ALL RISK OF INJURY OR DEATH.

I further agree and do herby grant duly authorize permission to any adult associated with Camp to administrate first-aid and/or seek medical attnetion for myself/my child if and when such attention is deemed necessary. I, as a parent or legal guardian, also agree to pay for all such emergency medical expenses deemed necessary by an adult from the Camp.

As lawful consideration for being permitted by Trinity Outreach Projects, INC or one of its affiliated organizations to participate in this activity and use their facilities.

I agree that I, my heirs, distributes, guardians, legal representatives, and assigns will not make claim against, sue, attach the property of, or prosecute Trinity Outreach Projects, INC or any of its affiliated organizations for injury or damage resulting from the negligence or other acts, howsoever caused by an employee, agent, or contractor for Trinity Outreach Projects, INC. or its affiliates, as a result in my participation in this activity.

In addition, I release and discharge Trinity Outreach Projects, INC. and its affiliate organizations from all actions, claims, or demands I, my heirs, guardians, legal representatives, or assigns now have or may have later for injury or damage resulting from my participation in the activity marked above.

Signature of Parent/Guardian

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Date

Month

Day

Year

I have carefully read this agreement and fully understand its contents. I am aware that is is a release of liability and a contract between myself and Trinity Outreach Projects, INC. and its affiliated organizations, and I have signed it of my own free will.