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2017 Registration Form
We're excited that you're registering your camper for Summer Music Camp 2017 at First Baptist Church of the Islands. Please complete a separate form for each camper being registered. If you have questions while registering, please contact the church office at (912) 897-2142.
Camper Information
*
Indicates required field
Camper's Name
*
First
Last
Camper's School
*
Camper's School Grade Entering
*
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Allergies, Medicines, Medical Needs
*
Camper's Age
*
Camper's Gender
*
Male
Female
Please list any special needs your child may have
*
Guardian Information
Guardian's Name
*
First
Last
Guardian's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Guardian's Email
*
Daytime Phone Number
*
Evening Phone Number
*
Camper Registration
T-shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Would you like more information about FBCI?
*
Sure, email it to us!
No, but thank you just the same.
How did you learn about Summer Music Camp?
*
FBCI
Poster
Friend
Banner/Sign
Internet
Auditioned Speaking & Singing Parts
In addition to being a part of all the fun of Summer Music Camp, your camper can also audition for a solo and/or speaking part during the presentation. Please select your preference below. Your audition will be held at First Baptist Church of the Islands. Your camper will not need to prepare anything. We regret that we will not be able to remind you about this, so please calendar it for your camper.
Preferred Audition Date/Time
*
Not interested in a solo/speaking part
Sunday, July 9 at 5pm
Sunday, July 16 at 5pm
Video & Pictures
We will be offering a DVD of the Summer Music Camp performance through the services of an outside video production company. These are perfect for family and friends who couldn't make it to the performance, or for the parent that doesn't want to mess with a video camera. These videos will be available for order on the evening of the production directly from the video production company. The price of the DVD and production time will be set by the video production company and not be First Baptist Church of the Islands.
Medical, Travel, Photo Release
My child, named above, has permission to participate in Summer Music Camp with First Baptist Church of the Islands. I release First Baptist Church of the Islands and its representatives from any liability pertaining to this event. I also authorize emergency treatment for my child should it become necessary for the welfare of my child. Furthermore, I allow my child to participate in off-campus activities and transportation to those activities related to Summer Music Camp.
I give First Baptist Church of the Islands the right and permission to publish photographs, video and audio recordings taken of my child during this event. These photographs, video and audio recordings may be used in whole or in part, and may be used in publications and in audio-visual presentations, promotional literature and materials, website promotions, online social communities, or in other similar ways. By my child participating in this event, I give First Baptist Church of the Islands permission to use photographs, video and audio recordings of my child for the purposes stated above. In addition, I wave any right to financial reimbursement or liability related to the reproduction of such photos or video, now or in the future.
I further agree that I am legally able to make these decisions on behalf of this child.
Please type your name stating that you have read and agree to the above release
*
Security and Success Commitment
I understand that for the success of my child, he/she must be present for the entire week, including the performance.
I also understand that upon canceling my child’s registration, I will be entitled to a full refund of the registration fee until and including July 16, after which no fees or payments will be refundable. Further, I understand that the leadership of Summer Music Camp @ FBCI reserves the right to dismiss any camper at any time without refund.
Because we care about the security of your camper, you will be provided a pick-up tag upon check in each day. You must have this tag at the time of pick-up for the camper. If you do not have your pick-up tag, you will be required to come into the church office with your driver's license to pick-up the camper.
If your camper is ill and must go home, he/she will not be allow to return to camp that day.
Please type your name stating that you havd read and agree to the above commitment
*
Submit
Registration Fee
Pay your registration fee online! Please type your child's name in the space on the payment screen and click continue to be taken to the payment screen.
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