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CYA CAMPING 2019 - REGISTRATION BELOW 

We are so excited to take a long weekend camping trip!

For our first camping trip of the summer, we will be heading to Santa Barbara and camping at El Capitan on the coast.

We are already full, but look forward to our other trips later in the summer!

DATES // Wednesday May 29th to Sunday June 2nd.

COST // $225

Pay Ashley Myers either through cash or check, or VENMO!

In order to register yourself for the trip, please complete the form below

And if you have insurance, make a copy of your card in case of emergency!

Please contact ashleycmyers86@gmail.com with any questions!

 

Packing List

  • Sleeping bag

  • Pillow

  • Sleeping mat

  • Blanket for campfire

  • Beach towel

  • Shower towel

  • Toiletries (there are showers available)

  • Warm clothing for cold nights

  • Clothes for hiking

  • Clothes for campground play and lounging

  • Sandals/water shoes

  • Hat/Sunglasses

  • Jacket (it will get chilly at night)

  • Bathing suit

  • Hiking clothes

  • Lounge gear

  • Pajamas

  • Beanie

 

REGISTRATION

Guardian (required)
Guardian's Name *
Guardian's Name
Guardian's Phone *
Guardian's Phone
Guardian's Address
Guardian's Address
If guardians cannot be contacted, please contact *
If guardians cannot be contacted, please contact
Their phone number *
Their phone number
Student 1 (required)
Student 1 *
Student 1
Date of Birth *
Date of Birth
Student 1 Cell
Student 1 Cell
Authorization *
We, the undersigned parent(s) or guardian(s) of the above mentioned minor(s), do hereby grant permission for my son/daughter to travel or stay at over night event with representatives of Glendale Presbyterian Church.
If deemed necessary for my students’ health, I (we) authorize representatives of Glendale Presbyterian Church to consent to any examination, x-ray, anesthetic, medical, or surgical diagnosis rendered under the general or special supervision of any physician or surgeon, licensed staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. In any case all such expenses shall be paid by the parent except where covered by the Accident Insurance Policy.
*