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Bonneville Stake 2021 YW Camp Registration
We are so glad that you are registering for camp! This year we will be camping at beautiful Camp Liberty in Liberty, Utah. The YCLs (Youth Camp Leaders) will be meeting at the stake center parking lot on July 12 at 1:00pm and the rest of the YW July 13 at 9:00am, all returning July 16 at noon. More information will be coming. If you have any questions, please contact either your YW president, our stake camp director, Angela McKellar, 801-703-8323, or stake YW president, Rebecca Anderson, 801-864-1763.
IMPORTANT:
We strongly encourage the YW to get vaccinated for Covid. If not, we will require a negative Covid test within 72 hours before camp. We do not want anyone to get Covid at camp. Thank you!
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Ward:
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First Name:
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Last Name:
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Date of birth:
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Grade for 2021-22:
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Cell Phone:
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Parent or Guardian's First and Last Name:
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Parent or Guardian Cell Phone:
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Home Phone:
Parent or Guardian Address:
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Alternative Emergency Contact:
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Alternative Contact Phone:
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Medical Information
Does the participant have any of the following:
Special Diet
Allergies
Medication
Chronic/Recurring illness
Surgery or a serious illness in the past year
Physical/Mental/Emotional concerns that limit activity at camp
For checked boxes, please explain below:
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Is there any other information that you would like to share with us?
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I give permission for my child/youth to participate in the activity listed above and for which I am registering him/her and authorize the adult leaders supervising this activity to administer emergency treatment to the above-named participant for any accident or illness and to act in my stead in approving necessary medical care. This authorization shall cover this activity and travel to and from this activity. Parent/Guardian electronic signature:
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Date:
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