2021 EPIC MS Camp - HS Leader - WAITING LIST
EPIC • July 26-30 • 9AM – 1pm (10th grade - graduating seniors only)

REGISTRATION IS FULL

You may fill out the following form to be put on the WAITING LIST.  Please DO NOT PAY until you receive an email stating your student has a spot. Thank you.

COST: $10 per HS Leader. (10th grade - graduating seniors only)
*No refunds; to keep camp fees low, we purchase supplies well in advance. Because of this, we are not able to offer refunds.  (exception: Covid related)

STEP 1: Please complete one registration form per HS Leader.

*Please use Firefox, Chrome or Safari.  If you have any technical questions, please contact web@universitycarillon.net.

STUDENT INFO
**LEAVE BLANK, if same as parent cell**
**used for communication emails - check for typos**


ADDRESS


PARENT/GUARDIAN INFO
**used for communication and confirmation emails - check for typos**


STUDENT MEDICAL INFO
please mark if no allergy/medical needs
leave blank if none.


TIME AWAY
leave blank if none


BRIGHT FUTURES


*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for EPIC and University Carillon use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).



*IN PERSON SAFETY PROTOCOL ACKNOWLEDGEMENT

For safety, we will be social distancing. Masks and temperature checks are required (masks may be removed for high intensity outdoor activities, and when seated for eating).
I understand, when choosing in-person, all safety protocols must be followed.



*SUBSCRIBE — EPIC YOUTH MINISTRY PARENT EMAIL LIST

I would like to receive/continue to receive future EPIC YOUTH MINISTRY PARENT emails from University Carillon. (youth news, devotionals, and events)



*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

  • I have read and understand the above information. The information I have given EPIC and University Carillon is accurate and true to the best of my knowledge.
  • My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.
  • I understand, no refunds are available for this event. (exception: Covid related)
Due upon registration.


When this form is processed, you will receive a confirmation email with payment instructions. Thank you!