REVOLUTION CAMP 2016 REGISTRATION
BOTH Sports & Performing Arts Camps ($40)
ONLY Sports Camp ($30)
ONLY Performing Arts Camp ($30)
Youth's Information * = required
Grade in school next fall
Emergency Contact if parent can't be reached (Name, Relationship, Phone)
Known allergies or other medical concerns:
Do you have a home church that you regularly attend??
If yes, name of your church:
RELEASE: I hereby release and agree to hold harmless First Baptist Church of Champaign at Savoy (FBC-CS) and designated leaders from all liability for damage, illness, or injury. In case of emergency, I give my permission for any necessary medical treatment. I will not hold FBC-CS or any leader/staff persons responsible for any injury that may occur.
I also give my permission to FBC-CS to use photos of my children, without any identification, in publications and/or on their website for promotional purposes.
Yes, I Agree
Registration is not complete until payment is made.