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Authorization and Privacy. All information collected by Bonavista Baptist Church Fellowship, operating as Bonavista Bapt
READY TO STAND STRONG? STRONG?

KINGDOM ROCK at BONAVISTA BAPTIST 1507 Acadia Dr SE Calgary AB T2J 5C4

Phone 403.271.6969 Fax 403.271.2515 Email [email protected]

www.bonavistabaptist.com

STAND STRONG At Kingdom Rock, kids discover how they can stand strong with God! Kingdom Rock is filled with amazing experiments, lip-smacking snacks, wild games, surprising adventures and incredible music. Grab your friends and register soon! Space is limited. You don’t want to miss out!

For more information about the Kingdom Rock program, volunteer opportunities, financial assistance or special events, please contact the Church Office: Phone 403.271.6969 or email [email protected]

BONAVISTA BAPTIST CHURCH

2013

SUMMER DAY CAMP

DATES August 12 – 16, 2013

FEES

FREE EVENTS

Early-bird: (by July 26, 2013) $ 50/child or $125/family

TIMES Monday – Friday 9 am - noon

Regular: $ 60/child or $150/family

AGES Age 3 to entering Grade 5

Family Party Thursday 5:30 – 7:30 pm

Financial assistance is available

KINGDOM ROCK Camper’s Name

Women’s Time Out Wednesday 9:30 – 11:30 am

Gender

Age

Grade in Sept.

Birth date

Registration Form

Medical concerns (Allergies, Chronic medical conditions that limit their activity, Significant emotional, behavioural or physical concerns or limitations)

Address

_________________________________________________

Postal Code

________________________

Email

_________________________________________________

Phone (home)

________________________

Parents’ names:

_________________________________________________

Phone (cell)

________________________

Church Home:

_________________________________________________

Fee Enclosed

________________________

Contact and Pick Up 1st Emergency Contact: ____________________________________________ Phone(s): __________________________________ 2nd Emergency Contact: ____________________________________________ Phone(s): __________________________________ Who is allowed to pick up your child? _____________________________________________________________________________ Friend(s) to be grouped with: __________________________________________________________________________________

Yes, I want to attend Women’s Time Out on Wednesday morning! Mom’s Name __________________________________ Child care required for: Name _____________________________________ Age: _______ Birth date: __________________ Medical Concerns: ___________ Name _____________________________________ Age: _______ Birth date: __________________ Medical Concerns: ___________

Authorization and Privacy All information collected by Bonavista Baptist Church Fellowship, operating as Bonavista Baptist Church, (“BBC”) will be used for the purposes of Kingdom Rock Day Camp (“Day Camp”). We never sell, rent, lease or exchange your personal information with other organizations. Contact information will be added to BBC’s mailing lists to inform you of future programs within BBC, unless you notify us in writing. Individual and group photos and video will be taken of your child(ren) during Day Camp for distribution to the campers and for use at BBC unless you inform us in writing otherwise. We, the parents or legal guardians of the above named camper(s), allow him/her/them to attend Day Camp at BBC. We recognize the risk involved in activities and will not hold BBC, its staff, volunteers or directors responsible for any personal injury that might occur to our child(ren) while participating in this program. We authorize a BBC staff member or volunteer to seek and obtain such emergency or medical services for our child(ren) as deemed necessary at the time. PARENT/GUARDIAN SIGNATURE

_________________________________________________ Date:_________________________

PARENT/GUARDIAN SIGNATURE

_________________________________________________ Date:_________________________