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THE WKND
FEB. 25th & 26th

$40

After completing this form, please follow the link to finalize payment and registration (please select 'The WKND' fund on payment page). Thank you!

STUDENT INFORMATION

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PARENT INFORMATION

EMERGENCY CONTACT

I understand and agree to the following: If you are sick, have been sick in the last 2 weeks, or have been around someone who was sick over the last 2 weeks, please stay home. At The WKND, we will encourage hand washing after completing activities and before and after eating. 

INSURANCE INFORMATION

CURRENT MEDICATIONS

Camper Medical History (If camper is subject to any of these please check them to let us know.)

I hereby give this church permission to give over-the-counter medication to my child. These may include, but is not limited to, Tylenol, Ibuprofen, Pepcid, Tums, or Benadryl.

I would like to be contacted before any medication is given to my child (e.g., Tylenol, Ibuprofen, Pepcid, Tums, or Benadryl).

As the participant, parent and/or guardian (if under 18 years of age) of said member, I hereby acknowledge that he/she is presently under my care, custody and control. In the event there arises any emergency needing medical attention, I hereby consent and give my permission to Foundation Church, or its representatives, or any attending physicians, to make such decisions and to perform such medical treatment, which may in their sole discretion be necessary and proper under the circumstances. As the participant, parent and/or guardian of said member, I hereby do release, acquit, discharge to hold harmless Foundation Church or its representatives or any attending physician from any and all actions, damages, or liabilities arising out of the treatment of any sickness or accident incurred by above said participant during time away while on any church activities. *

MEDIA RIGHTS

I expressly understand and acknowledge that during the course of the WKND photographs and/or video footage of my child may be taken, and I hereby give permission for such photographs or videos to be used on the church website, in service, and/or Facebook Page.

I understand that by typing in my full legal name and date, I am signing this form for Foundation Church, registering my child for WKND, and agreeing to complete payment on the next page.