Medical Release What to Bring:

I give permission for ________________ to Bedding is provided (sleeping bag and pil-

travel to “Summer Camp” with Harbor Cov-
enant Church (Gig Harbor, WA) June 23-27,
2008.
I hereby release Harbor Covenant Church, its
staff and sponsors, from responsibility and lia-
bility for any injury and illness that my child may
sustain during this activity. In the event of an
emergency, I hereby authorize an adult leader
of this activity, as an agent for me, to consent
to any x-ray examination; medical, dental or
surgical diagnosis; treatment; and hospital care
as advised by a physician, surgeon or dentist
(as appropriate) as listened to practice under
the laws of the state/province where the ser-
June 22-26
low are not necessary)
Closed toe shoes, money (two meals on
the road & camp snack shack), Bible,
warm clothes, toiletries, towel, one piece
swimsuit, friends, camera, & passport!
Do NOT bring:
An IPOD, Mp3 player, CD Player, or any
other media device that requires head-
phones. Also, don’t bring any expensive
personal items, weapons, drugs, or alco-
hol. If you have a question about an item

Summer Camp at The Cape!

vices are rendered, either at the doctor’s office you would like to bring along, please ask
or in any hospital. I expect to be contacted as your youth pastor!
soon as possible.
I also understand that if my child is disruptive,
brings alcohol, drugs, weapons, causes any in- To sign up:
jury to themselves or others, or engages in any Complete the registration form, attach
unacceptable behavior, I will be responsible to payment ($75.00 non-refundable deposit)
remove my child from this activity and transport and then place in the lock box outside the
them immediately back to Gig Harbor. pod.
If you are going to our mission trip in Van-
_____________________ _______ couver, just turn in the registration. The
Parent or Legal Guardian Date depoist and amount of the trip is included
---------------- in the Vancouver package.
Photography Release
The undersigned gives permission to Harbor
Covenant Church to photograph his or her son
or daughter and use the resulting photographs
for any purpose that Harbor Covenant Church
deems proper (for clarification call Blake).

_____________________ _______
Parent or Legal Guardian Date

Harbor Covenant Church,

5601 Gustafson Dr. NW
Gig Harbor, WA 98335
(253) 851-8450
Does hanging out with a bunch of
friends on a island just relaxing and
having fun sound good or what?!
This Summer we are returning for our
third year in a row to Capernwray Har-
bour on Thetis Island (off the East Coast
of Vancouver Island) in beautiful British
Columbia. We will be relaxing, having
fun, enjoying good food, good compa-
ny, and experiencing God in a new and
challenging way. This is a great trip to
bring your friends to!
Night Games Field Games
Team Competition
Wakeboarding Kayaking Ropes Course And
Climbing Wall Bike Jump
More
What you need to know
When: June 22-26
Times: Leave HCC 4:30am, Mon., June 22.
Return to HCC 11:00pm Friday, June 26.
You need a passport!
Early Bird Rate: $299 (due by 12/31/08)
Regular Rate: $329 (due by 3/31/09)
Better Late than Never: $349 (after
4/1/09)
Passport Info:
It may take up to 8 weeks to get a passport
and passports are mandatory for the trip,
no exceptions. So please take take care of
this immediately.
Registration
Name________________________________
Age _______ Grade _________ Gender____
Shirt Size (please circle one): S M L XL
Address ______________________________
City ____________________ Zip __________
Parents’ Names ________________________
Phone # ______________
Alternate Contact _______________________
Relation ______________________________
Phone # ____________ Work # ___________
MEDICAL INFORMATION:
Allergies: _____________________________
Medication Being Taken: _________________
_____________________________________
_____________________________________
Physical Handicaps or Limitations: __________
_____________________________________
_____________________________________
Medical Insurance Company: ______________
_____________________________________
Policy Number: ________________________
Member’s Name: ______________________
Primary Physician: _____________________
Physician’s Phone# ____________________
cont. on back...