P252 Summer Retreat Enrollment Form 2021

Please fill out this form and click submit.

P252 SUMMER RETREAT AND DEPOSIT DEADLINE IS FRIDAY, JUNE 11TH.

FULL PAYMENT IS DUE BY FRIDAY, JUNE 25TH.
 
 
 
 
 
 
 
 
In Case of Emergency

If the above named child requires any emergency medical treatment or procedures during the summer camp, I hereby consent to and authorize the P252 team to make any decision and to take any action to arrange for such circumstances.
 
 
Liability Waiver





By reading this section, I am acknowledging that the activities that my child/ren may partake in during their P252 Summer Retreat will expose them to certain risks due to the nature of activities in which they participate. These activities include transport to the retreat, hiking, tubing/water activities. I knowingly and freely assume all such risks, both known and unknown, and hereby release Pneuma Life Church, its staff, and its volunteers from assuming the responsibilty for any incidents and/or injuries that may occur.





Consent

I attest that I have carefully read each section of this form and agree to its contents and its terms and conditions.
 
Payment Information

A deposit of $100 is due at the time of registration to secure your child's spot at P252 Summer Retreat. Remaining balance will be due by check, cash or Breeze payment by June 25th, 2021. 
 
 
 
 
 
 

Description

Please fill out this form and click submit.

P252 SUMMER RETREAT AND DEPOSIT DEADLINE IS FRIDAY, JUNE 11TH.

FULL PAYMENT IS DUE BY FRIDAY, JUNE 25TH.