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Cost $230 per student (includes two shirts)

$50 Non-Refundable Deposit due to complete the registration

$80 Installment Due May 20

$100 Remaining Balance Due June 18

* Please stop by the First Kids desk to sign the Parent Waiver to complete registration. *

Student Name *
Student Name
Gender *
Parent Name *
Parent Name
Parent Phone *
Parent Phone
My child has my permission to attend PowerPlus Preteen Camp at Pineywoods Baptist Camp in Woodlake, Texas with First Baptist Church, Pittsburg, TX, June 27-30, 2018. I have read and agree with all of the information on the brochure. My student also has permission to participate in any recreation a his/her own discretion. I realize that there is risk associated with any activity and I assume full responsibility for the welfare of my child. I will not hold First Baptist Church, nor any of its sponsors, leaders, staff, agents or representatives responsible in cases of injury or illness. This statement authorizes the church sponsors to seek medical and/or surgical treatment in the event of an emergency. *