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**Youth must be regular attenders of Flood Student Ministries
or 6 weeks prior to camp in order to attend.**

Summer Youth Camp '23
July 16-22, 2023 // Ages 13-18

Parent or Legal Guardian Information

Health Information

  • It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury.  If the information has changed on the day of registration please contact Pastor Tanner to make the appropriate changes to all documentation.

  • Please bring all medication in its original container or you will not be allowed to leave the medication or vitamins with the student.  No exceptions.  All prescriptions must be in the student's name and the correct dosage.  

  • All fileds are required below.  If nothing applies, please put "NONE" in the box.  Thanks.

Do you have medical insurance?
  • Be certain to enter your email address correctly on the registration form to receive confirmation via email.

  • I (Parent/Legal Guarding) acknowledge that I have been informed that, as a member of the Flood Student Ministries Youth Group of “The River of Columbus, Inc.”, my child, will participate in activities that carry a degree of physical risk. The activities include transportation, swimming, sports, and other activities which the church may offer during the duration of the camp.

  • I consent for my child to participate in these activities. I also state that my child is in good physical condition and has the necessary skills to participate safely in these activities. Specifically, I state that my child can swim. I hereby release “The River of Columbus, Inc.” from any and all liability for the participation of my child in this Youth related event. You may rely on the below consent until I notify you in writing of any changes.

  • I (Parent/Legal Guardian) do hereby state that I have legal custody of the student, a minor, who resides with me, this minor is a registered student with Flood Student Ministries, I hereby authorize any Pastor, leader, nurse, or other responsible personnel to consent to any x-ray, examination, anesthetic, medical treatment, and hospital care, to be rendered to this minor under the general or special supervision and on the advice of any physician or surgeon licensed to practice in the State of GA or FL, which such medical treatment is necessary.

Thanks for registering!

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