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Speaker

Gary Smith


*Register Below*

Attendee Information

Parent/Guardian Information

*Required for Minors*

Emergency Contact Information

Medical Information

Medical Consent: I authorize This Generation Ministries and North Star Bible Camp, in whose care my child has been entrusted, to (1) facilitate the taking of my child’s prescribed medications; (2) administer routine medical care for minor injuries and illnesses; and (3) in my absence, consent to any emergency medical treatment, and hospital care to be rendered to my child on the advice of any licensed physician, or other health care provider, and I will be responsible to pay all costs incurred in connection with such medical services.

Release & Terms of Camp: For myself and my spouse (if any), and on behalf of our minor child, I release, discharge, defend, and hold This Generation Ministries and North Star Bible Camp and their officers, directors, employees, and volunteers, harmless from and against any and all claims, expenses, and any other liabilities related in any way to injuries or other losses sustained by my child as he/she attends, participates in, and travels to and from the activities and facilities of North Star Bible Camp. I have read and understand the terms my child shall abide by while in the care of This Generation Ministries and while at North Star Bible Camp. See complete list of terms in document section.

Model Release: I understand that this event will have audio and video recording, and photography and I consent to allow This Generation Ministries to use the media captured for their own purposes, including (but not limited to) event promotions and social media posts.

We do not issue refunds on camp registration costs, and apologize for the inconvenience.

Check this box to agree with the statements above.


$300.00
$300.00


Billing Information

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