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Camp Sign-up Form

For more information, follow us on Instagram @rhemanrc or email baugust@rhema.org.

Dates are as follows:
June 8th, 9th, and 10th From 9:00am-12:00pm

Get them signed up today!

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MM slash DD slash YYYY

Personal Infomation

Camper Name(Required)
Parent Name(Required)
Choose the sport you will be playing:(Required)
Backetball Ages 5-17
Sex(Required)
What shirt size are you?(Required)
Shirt Type(Required)
This will be the base shirt (category) for your awnser on the shirt size section.
Please provide information for someone we can contact.

Waiver & Release




RELEASE OF CLAIMS AND HOLD HARMLESS
FOR FUTURE ACCIDENTAL INJURIES OR DEATH

I hereby authorize the staff of RHEMA Bible Church to act for me according to their judgement requiring medical attention, and I hereby waive any and all claims for myself and my child against the sponsors of the RHEMA Summer Basketball Camp, and each of their agents, servants, officers, and employers for injury or illness which may directly or indirectly result from participation in the camp. I agree to indemnify each of said parties against all liability or loss, cost, injury, or damage to persons or property which may arise by virtue of the undersigned engaging in the RHEMA Summer Basketball Camp. I further state that my child is in proper physical condition to participate.





Agreement(Required)
MM slash DD slash YYYY
Clear Signature
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
 
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  • 1367 East 71st St S, Broken Arrow, OK 74012
  • (918) 258-1588 Ext. 2303
  • baugust@rhema.org
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