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Best Camp Ever on Monday, June 21, 2021 @ 9:30 AM

*Shirt Size:
*Gender:
*Birthdate:
*Current Grade/Grade Just Completed:
*Campus you attend:
If you are a visitor, who are you a guest of?:
Father's first and last name:
Father's Cell:
*Mother's first and last name:
*Mother's cell:
The above listed child may attend and participate in Community Life KidsMin's activities with the following exceptions or limitations
Emergency Medical Information & AuthorizationI give my permission for the adult counselors from Community Life KidsMin to seek and authorize medical treatment for my child in the case of injury or illness. I agree to pay for any medical treatment that is not covered by my insurance.
*Allergies:
All medications must be given to an adult counselor.:
*Medications and times administered:
Insurance:
Policy number:
In the event I cannot be reached, I authorize the following person to care for my child:
Relationship:
Address and Cell Number:
*Media Release for a MinorI, the undersigned, being legal guardian of the child listed above, grant to Community Life Church the right to use his/her photograph, likeness, video, or voice recording with or without his/her name, for social media and Community Life publications. I hereby release any claims of copyright, libel, slander, violation of privacy or similar right that I may have. There is no expiration date on this release; I will not seek compensation for usage.

I have read and agree to the Media Release for a Minor:
*I acknowledge that by typing my name below, it acts as a binding signature. 

Parent/guardian's Electronic Signature:
Expectations for Conduct"As Christ's ambassador and now a prisoner for him, I wouldn't hesitate to command this if I thought it necessary, but I'd rather make it a personal request." Philemon 1:8-9
Community Life Church expects students to conduct themselves as follows:
1.  Dress: Modest and appropriate to activity. "Here's what you need to be concerned about: that you don't get in the way of someone else, making life more difficult than it already is." Romans 14:13
2.  Behavior: Like ladies and gentlemen, keeping in mind you are witnesses for Christ. "God has given us the task of telling everyone what he is doing. We are Christ's representatives." 2 Corinthians 5:20
3.  Drugs, Tobacco, Alcohol: None. (other than prescription medication or parent authorized over the counter medication.) "You realize, don't you, that you are the temple of God, and God himself is present in you? No one will get by with vandalizing God's temple, you can be sure of that." 1 Corinthians 3:16-17
4.  Contraband: Anything you are not supposed to have, don't, or it will be taken up and the KidsMin will not be held responsible for it. "That's why you must live responsibly, not just to avoid punishment but also because it's the right way to live." Romans 13:4
5.  Damage: You break it, you pay. "That's why you must live responsibly, not just to avoid punishment but also because it's the right way to live." Romans 13:4
6.  Schedules: "There is a time for everything, and a season for every activity under heaven." Ecclesiastes 3:1     
     a.  Overnighters: Quiet time will be quiet (counselors get grumpy when they don't sleep!) 
     b.  Leaving: You don't till it's over, unless leadership says OK or a parent/guardian comes to get you.
     c.  Meeting: When a time is set to meet, you WILL be there on time or appropriate consequences.
7.  Vehicles: Be safe. Sit down. Buckle up. Don't bug the driver. (Only authorized adults get to drive!) "Dear friend, guard clear thinking and common sense with your life [Then]….you'll travel safely." Proverbs 3:21-23
8.  Directions: Bring what you're told. Leave home what you're told. Do what you're told to do. Don't do what you're told not to. "Respect the authorities, whatever their level; they are God's emissaries for keeping order. It is God's will that by doing good, you might cure the ignorance of the fools who think you're a danger to society. Exercise your freedom by serving God, not by breaking rules." 1 Peter 2:13-16
9.  Participation: You will have fun, or else! And hopefully you'll experience something great. But that's up to you! "Here's what I've decided is the best way to live: Take care of yourself, have a good time, and make the most of [it]." Ecclesiastes 5:18
10. Our Options: If you can't do it our way, we'll send you on your way, home, at your parent's expense. Sorry, but that's the way it has got to be if we're going to get to do these things! "I'm not responsible for what the outsiders do, but don't we have some responsibility for those within our community of believers? God decides on the outsiders, but we need to decide when our brothers and sisters are out of line and, if necessary, clean house." 1 Corinthians 5:12-13
I have read and agree to follow the Expectations for Conduct. I acknowledge that by typing my name below, it acts as a binding electronic signature.:
*Student's Electronic Signature:
Grant of Permission, Discipline & Release
I grant the permission, and give the authority for medical treatment as stated on the first page. I understand that should my child fail to behave in accordance with the Expectations for Community Life Church, or otherwise become disruptive, as determined by the church's KidsMin, I will come pick up my child or they will be sent home on public transportation at my own expense. I understand that I or someone I designate will be notified by phone in such an event. If I cannot be reached by phone, I agree to reimburse Community Life Church for any expenses incurred in returning my child home, including costs of public transportation for my child and a chaperone as necessary. I understand this event has risks of injury. I will not hold Community Life Church or any of the counselors responsible if injuries occur.
I understand and agree to the disciplinary release. I acknowledge that by typing my name below, it acts as a binding electronic signature.:
*Parent/Guardian Electronic Signature:
*Date:


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2918 US-175, Kaufman, TX 75142
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204 FM 1641, Forney, TX 75126
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Mailing address:
P.O. Box 3209
Forney, TX 75126

972-564-5433(LIFE)

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