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Register Here!!!
Name *
Age *
9th
10th
11th
12th
Adult Helper
Address *
City *
State *
Zip Code *
E-mail *
Can be yours or parents!
Emergency Contact Name *
Phone *
Relationship to you *
Person to notify that the team has arrived safely *
provide their email as well
I have medical insurance coverage
I do not have medical insurance coverage
Phone Number of Insurance *
Policy Number of Insurance *
Check for Release of Liability
Parent/Guardian please click in the box provided stating that you are aware of the potential risk to your child and property as they participate in a one-week trip with Edgewood Baptist Church. With such knowledge, I voluntarily release Edgewood and their representatives from any and all liability related to the activities of this trip.
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