Camp Wellspring 2023 Registration

June 19-23, 6-8pm | For children 3 years old (potty trained) - upcoming 6th graders for the 2023-2024 school year.
Must complete 1 form for each child attending Camp Wellspring.
Please fill out this form, and click the "Submit & Pay" button.
For more information please contact our Director of Family Ministries, Bekah Seward at bekah@visitwellspring.com.

Kids will play their way through this summer's Camp Wellspring theme:


Twists and Turns



In Bible Study Game Room, kids will see Jesus through the eyes of one of His closest friends, Peter, and discover that trusting Jesus as Savior and following Him changes the game entirely!


Spin the spinner, beat the clock, skip ahead, level up, and play to win in Wild Card Crafts, Level Up Music & Ready, Set, Rec!


Child Information

Please fill out the child's information below.
 
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Primary Parent/Guardian Information

Please fill out the primary parent or guardian's information here. 
 
 
 
 
 
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Secondary Parent/Guardian/Emergency Contact Information

Please fill out the secondary parent/guardian or other emergency contact information here.
 
 
 
 
 
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Parent/Guardian Authorization, Consent, and Release

I, ____________________________, parent/guardian of ______________________________, hereby grant my permission for the above-named child to participate in Camp Wellspring (the “Event”) on June 19-23, 2023, sponsored by Wellspring Church (the “Church”).
I understand the Event may include but not limited to the following: Bible teaching, worship, prayer, indoor and outdoor recreation and activities including water activities and physical exercise, and eating food. 


I understand it is my obligation to inform the Church of any and all health considerations or medical conditions that would restrict my child’s participation in any and all activities while in the care of the Church. Should the need for medical attention arise I understand the Church will attempt to contact me as soon as practicable under the circumstances.


In cases of emergency, I further consent to the examination and treatment of my child by medical personnel as deemed necessary by such personnel. I agree to pay for any and all resulting medical expenses. I agree to waive, forever discharge, covenant not to sue and agree to hold harmless all Event volunteers and the Church, their agents, representatives, employees, sponsors, successors and assigns (“the Released Parties”), from all liability, claims, demands, losses or damages on account of or caused by, whether actual or alleged, in whole or in part, any act or omission of the Released Parties in connection with my child’s participation in the Event.


I acknowledge by signing this document I am waiving my right to maintain a lawsuit against the Released Parties on the basis of any claim from which I have released them herein. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions remain in full force and effect. I have fully informed myself as to the contents of this PARENTAL AUTHORIZATION, CONSENT AND RELEASE by reading it before I signed it.

By typing your full name and the current date, you are electronically signing this form and acknowledging that you have read the above Parent/Guardian Authorization, Consent and Release, that all repsonses in this form are true, and that your online consent is equivalent to a binding legal signature.
 
 
Payment

 
 
 
 
 
 

Description

June 19-23, 6-8pm
For children 3 years old (potty trained) - upcoming 6th graders for the 2023-2024 school year.
Must complete 1 form for each child attending Camp Wellspring.
Please fill out this form, and click the "Submit & Pay" button.
For more information please contact our Director of Family Ministries, Bekah Seward at bekah@visitwellspring.com.