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Harbour View FUGE Student Camp Reg 2022 on Monday, August 1, 2022

Price:

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

**If you would only like to pay the deposit at this time, please use the drop down at the top of this page to change the price to the $100 deposit. Please note that the $100 deposit, included in the price, is non-refundable**

*Date of Birth:

*Grade Completed:

*Gender:

MaleFemale

Roommate Choice:

*Parents' Names:

*Parents' Email(s):

Parents' Phone(s):

Student Phone:

*I hereby give permission for images of my child, captured during Student Camp, through video, photo and digital camera, to be used solely for the purposes of Liberty Baptist Church promotional material and publications, and waive any rights of compensation or ownership thereto.

*I will give permission for my child to be baptized during student camp.

YesNo

I, together with my parents and the leadership of Liberty Students agree to the following:

To have a great attitude during Student Camp.

To honor, respect and follow instructions from Staff, Group Leaders, and all other Student Camp Volunteers.

To actively participate in each small-group session and each large-group rally with the intent to learn and to response to the Lordship of Jesus Christ.

I understand that the failure to honor this Behavior Covenant will lead to ONE warning. If I do not honor this Behavior Covenant a second time, my parents will be contacted.

After making the deposit, if you would like to make incremental payments of any amount, follow these steps: If you haven't already, please create an account on my.libertylive.com in the name of whomever paid and whose billing information was entered in the payment form, then go to My Registrations to make payments.

If you were given a scholarship code, enter it below.

Promo Code:

Registration Total:

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Event Registration

Harbour View FUGE Student Camp Reg 2022 on Monday, August 1, 2022