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UNITED CHURCH OF CHRIST IN THE PHILIPPINES UCCP Baguio Youth Ministry

CHRISTIAN YOUTH FELLOWSHIP


YOUTH CAMP 2016 WAIVER
Westside of Burnham Park, Baguio City
June, 2016
I _________________________________am
2016 YOUTH CAMP allowing my son/daughter, _______________________
_________________________to join this year’s camp on
PERSONAL INFO June 1-5 @ Leonila Hill, Baguio City.
NAME: I am aware that the camp does not
____________________________________________ necessarily provide all the conveniences my
ADDRESS: son/daughter usually enjoys at home but I want my
____________________________________________
son/daughter to learn and appreciate what the
____________________________________________
CP #:______________________ grace of God has in store for him/her as he/she
AGE: _______GENDER:_________________________ journey’s in God’s way and strengthen more his/her
BIRTH DATE:________________________
relationship with Jesus Christ, the Savior.
SKILLS:______________________________________
SCHOOL:_____________________________________ I am aware that there may be circumstances
COURSE & YEAR:______________________________ that may happen beyond the counselor’s control yet
I’ll be praying for their health, safety and God’s
FAMILY INFO
protection so I won’t be holding the church and the
FATHER’S NAME:_____________________________
CP #:______________________________________ camp staff liable to any untoward incident that
MOTHER’S NAME:_____________________________ may happen during the camp.
CP #:_________________________________
I am willing to support the camp in any way
MARITAL STATUS:______________________
OTHER SIBLINGS:____________________________ I can so I could also minister in part to the future
___________________________________________ leaders of our church, my son/daughter being one.
This I will do as a covenant with God.
RELIGIOUS INFO

CHURCH ATTENDING: _________________________ _____________________________________


ADDRESS: ___________________________________ Name of Parent & Signature
PASTOR: ____________________________________
Date: ___________________
CHURCH INVOLVEMENT (MINISTRY):
____________________________________________ Contact number: ___________________________________
FATHER: CHRISTIAN? YES ____ NO _______ ------------------------------------------------------------
MOTHER: CHRISTIAN? YES ____ NO _______ Things to bring
HAS THE CAMPER EVER MADE A PROFESSION OF
FAITH IN CHIRST?
o Bible
YES ___________(DATE) ___________ NO _______
o Notepad/Pencil 2B
MEDICAL INFO o Flashlight
o Umbrella
DOES CAMPER HAVE ANY MEDICAL PROBLEM OR
ALLERGIES? _________________
o Caps/Bonnet
IF YES, SPECIFY: ____________________________ o Sweater/Jacket
___________________________________________ o Clothes good for 5 days and 4 nights
o Beddings (pillow and blanket)
OTHER INFO
o Toiletries/Bath towel
FOOD PREFERENCE/S: ________________________ o Personal Meds (if with a special medical
FOOD RESTRICTION/S: _______________________
illness)
CAMP EXPECTATION/S: _______________________
NO. OF TIMES YOU HAVE ATTENDED UCCP YOUTH
CAMP: _____________________________________

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