WAITING LIST - 2019 EPIC Middle School Camp
EPIC • July 29-Aug 2 • 9am-1pm

MS CAMP IS FULL.

STEP 1: Please fill out the following information to be added to the waiting list. There are times where students drop out or are unable to attend MS Camp. Things happen and spots open up.

 

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

STUDENT INFO
**used for communication and confirmation 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


TIME AWAY
leave blank if none.


*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.).



*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.
Due upon registration.


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