Cool Beans Day Camp

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* These fields are required

1 Your Child's Information

2 How many children from your family?

How many children are you registering for Cool Beans? Then also select 1, 2 or 3 as "number of guests."

Select a price.

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$18.00 – Registering one chlld

Number of Guests:

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$14.00 – Registering two children

Number of Guests:

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$13.00 – Registering three children

Number of Guests:

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3 Your Children's Information

Guest 1		First Name* Last Name* Email* Birth Date* Liability release for the child* On behalf of this child, I agree to the conditions of this liability release. Ingalls Creek Enrichment Center Events Liability Release/Consent statement: All reservations and registrations are subject to confirmation and approval by Ingalls Creek Enrichment Center management. Agreement to this release statement is required for your participation. Hold Harmless: The individual(s) named in this registration agee(s) to indemnify, hold harmless, and defend Ingalls Creek Enrichment Center (ICEC) and its agents and employees from any and all loss or liability arising from participation in activities and events organized by ICEC and the use or occupancy of ICEC premises by any persons whomsoever during the time ICEC is used or occupied by the registering individual. This includes any and all housing accommodations (extending to Alanna’s Landing if used during an ICEC event), parking, trailer parking, tent camping or glamping, trail use, and use of ICEC vehicles. This hold harmless agreement includes, but is not limited to, any claim for personal injury or death of any ICEC participants, personnel, contractor employees, agents’ invitees, and/or servants. Please Note: Ingalls Creek Enrichment Center reserves the right to deny use or to terminate use privileges to any individual or group that the ICEC board or its representative determines to be harmful to facilities, ministries, or purposes of ICEC, including disruptive or undesirable behavior impacting neighbors or other users. ICEC purposes are stated in the bylaws of Ingalls Creek Enrichment Center, with particular emphasis on Article IV, Tenets of Faith, and in the ICEC vision statement, available on request.
Guest 1		First Name* Last Name* Email* Birth Date* Liability release for the child* On behalf of this child, I agree to the conditions of this liability release. Ingalls Creek Enrichment Center Events Liability Release/Consent statement: All reservations and registrations are subject to confirmation and approval by Ingalls Creek Enrichment Center management. Agreement to this release statement is required for your participation. Hold Harmless: The individual(s) named in this registration agee(s) to indemnify, hold harmless, and defend Ingalls Creek Enrichment Center (ICEC) and its agents and employees from any and all loss or liability arising from participation in activities and events organized by ICEC and the use or occupancy of ICEC premises by any persons whomsoever during the time ICEC is used or occupied by the registering individual. This includes any and all housing accommodations (extending to Alanna’s Landing if used during an ICEC event), parking, trailer parking, tent camping or glamping, trail use, and use of ICEC vehicles. This hold harmless agreement includes, but is not limited to, any claim for personal injury or death of any ICEC participants, personnel, contractor employees, agents’ invitees, and/or servants. Please Note: Ingalls Creek Enrichment Center reserves the right to deny use or to terminate use privileges to any individual or group that the ICEC board or its representative determines to be harmful to facilities, ministries, or purposes of ICEC, including disruptive or undesirable behavior impacting neighbors or other users. ICEC purposes are stated in the bylaws of Ingalls Creek Enrichment Center, with particular emphasis on Article IV, Tenets of Faith, and in the ICEC vision statement, available on request.

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4 Your Child's Information

If you are registering 2 or 3 children, this is already completed above. Continue to parent info.

Birth Date *
Liability release for the child *	On behalf of this child, I agree to the conditions of this liability release. Ingalls Creek Enrichment Center Events Liability Release/Consent statement: All reservations and registrations are subject to confirmation and approval by Ingalls Creek Enrichment Center management. Agreement to this release statement is required for your participation. Hold Harmless: The individual(s) named in this registration agee(s) to indemnify, hold harmless, and defend Ingalls Creek Enrichment Center (ICEC) and its agents and employees from any and all loss or liability arising from participation in activities and events organized by ICEC and the use or occupancy of ICEC premises by any persons whomsoever during the time ICEC is used or occupied by the registering individual. This includes any and all housing accommodations (extending to Alanna’s Landing if used during an ICEC event), parking, trailer parking, tent camping or glamping, trail use, and use of ICEC vehicles. This hold harmless agreement includes, but is not limited to, any claim for personal injury or death of any ICEC participants, personnel, contractor employees, agents’ invitees, and/or servants. Please Note: Ingalls Creek Enrichment Center reserves the right to deny use or to terminate use privileges to any individual or group that the ICEC board or its representative determines to be harmful to facilities, ministries, or purposes of ICEC, including disruptive or undesirable behavior impacting neighbors or other users. ICEC purposes are stated in the bylaws of Ingalls Creek Enrichment Center, with particular emphasis on Article IV, Tenets of Faith, and in the ICEC vision statement, available on request.

Birth Date *

Liability release for the child *

On behalf of this child, I agree to the conditions of this liability release. Ingalls Creek Enrichment Center Events Liability Release/Consent statement: All reservations and registrations are subject to confirmation and approval by Ingalls Creek Enrichment Center management. Agreement to this release statement is required for your participation. Hold Harmless: The individual(s) named in this registration agee(s) to indemnify, hold harmless, and defend Ingalls Creek Enrichment Center (ICEC) and its agents and employees from any and all loss or liability arising from participation in activities and events organized by ICEC and the use or occupancy of ICEC premises by any persons whomsoever during the time ICEC is used or occupied by the registering individual. This includes any and all housing accommodations (extending to Alanna’s Landing if used during an ICEC event), parking, trailer parking, tent camping or glamping, trail use, and use of ICEC vehicles. This hold harmless agreement includes, but is not limited to, any claim for personal injury or death of any ICEC participants, personnel, contractor employees, agents’ invitees, and/or servants. Please Note: Ingalls Creek Enrichment Center reserves the right to deny use or to terminate use privileges to any individual or group that the ICEC board or its representative determines to be harmful to facilities, ministries, or purposes of ICEC, including disruptive or undesirable behavior impacting neighbors or other users. ICEC purposes are stated in the bylaws of Ingalls Creek Enrichment Center, with particular emphasis on Article IV, Tenets of Faith, and in the ICEC vision statement, available on request.

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5 For the Parent / Guardian

First name of parent or guardian *
Last name of parent or guardian *
Mailing Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Phone *
Liability Release *	I have read the Liability Release below and I agree to the stated terms. Ingalls Creek Enrichment Center Events Liability Release/Consent statement: All reservations and registrations are subject to confirmation and approval by Ingalls Creek Enrichment Center management. Agreement to this release statement is required for your participation. Hold Harmless: The individual(s) named in this registration agee(s) to indemnify, hold harmless, and defend Ingalls Creek Enrichment Center (ICEC) and its agents and employees from any and all loss or liability arising from participation in activities and events organized by ICEC and the use or occupancy of ICEC premises by any persons whomsoever during the time ICEC is used or occupied by the registering individual. This includes any and all housing accommodations (extending to Alanna’s Landing if used during an ICEC event), parking, trailer parking, tent camping or glamping, trail use, and use of ICEC vehicles. This hold harmless agreement includes, but is not limited to, any claim for personal injury or death of any ICEC participants, personnel, contractor employees, agents’ invitees, and/or servants. Please Note: Ingalls Creek Enrichment Center reserves the right to deny use or to terminate use privileges to any individual or group that the ICEC board or its representative determines to be harmful to facilities, ministries, or purposes of ICEC, including disruptive or undesirable behavior impacting neighbors or other users. ICEC purposes are stated in the bylaws of Ingalls Creek Enrichment Center, with particular emphasis on Article IV, Tenets of Faith, and in the ICEC vision statement, available on request.
Photo release *	Do you give permission for Ingalls Creek to use any photographs, video, or interview taken during Day Camp to be used to illustrate, report, promote and advertise Ingalls Creek? If you answer no, your child will be excluded from the group photo.
Church Affiliation (optonal)	Name and town of the church you are involved in.
Email newsletter	Please send me Monday Morning at Ingalls Creek emails. A quick update of how Ingalls Creek is celebrating, working, and praying each week, plus a quotation and question to reflect on.
How did you hear about this event?
How did you hear about this event?

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6 Optional Donation

$	Sustaining Gifts Thank you for helping to increase the impact of Ingalls Creek Enrichment Center!
$	Scholarship Fund Your donation helps others experience transformation and restoration!

7 Security Check

Security check

8 Payment

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Donations	$0

Taxes	$0

50% Deposit	$0

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