DCY Camp Application 2022

July 18th - 21st | Please fill out this form in its entirety (Including the $50 Camp Deposit) to sign up for DCY Summer Camp. Upon completion, you will receive a follow up email with a Spring Valley Waiver that you will also need to sign and turn in.
Youth Information

 
Please select one option.
 
 
 
 
 
 
 
Please select one option.
 
 
Parent/Guardian Information

 
 
 
 
 
Please select one option.
 
 
 
 
 
 
 
 
 
 
 
Please select all that apply.
 
 
 
 
 
Release of Claims, Hold Harmless

Dear Parent, 
This form acknowledges that my minor will be traveling, with my authorization, with Youth Director Olivia Sanchez to the Spring Valley Ranch Camp on July 18th through July 21st. By signing below, I acknowledge that I am the legal guardian/parent of the minor listed below and I release Destiny Church International, Inc. from any and all liability.
 
I agree to allow my child to participate in the Spring Valley Ranch Camp. 
This signature releases and agrees to hold Destiny Church International, Inc., its officers, and staff harmless from any and all liability for harm to teen or teen's personal property, resulting from illness, disease, civil unrest, or transportation accident or failure. Parents, individually and on behalf of his/her heirs, personally assumes all risks and liablities and agrees to indemnify Destiny Church International, Inc. against any liability, which might be assessed against it as a direct or indirect result of teen's participation in this trip.
I agree to allow my child to participate in the Spring Valley Ranch Camp's float trip. 
This signature releases and agrees to hold Destiny Church International, Inc., its officers, and staff harmless from any and all liability for harm to teen or teen's personal property, resulting from illness, disease, civil unrest, or transportation accident or failure. Parents, individually and on behalf of his/her heirs, personally assumes all risks and liablities and agrees to indemnify Destiny Church International, Inc. against any liability, which might be assessed against it as a direct or indirect result of teen's participation in this trip.

I will also send my child with a life jacket if they need one.
 
Note: This form is intended for parental notification and protection of both Destiny Church International and its members. This form is required by administration for all non-Destiny Church International, Inc. activities. If you have any questions regarding this form, please feel free to contact the church administration at 918-259-9080.
 
 
 
 
 
 
 

Description

July 18th - 21st
Please fill out this form in its entirety (Including the $50 Camp Deposit) to sign up for DCY Summer Camp. Upon completion, you will receive a follow up email with a Spring Valley Waiver that you will also need to sign and turn in.