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Crossings Student Camp 2024

Crossings Student Camp 2024

July 5 - July 9

$100.00 – $200.00

Students coming into 6th grade through graduating seniors in high school are invited to join us as we head back to Crossings Camp in Bagdad, KY this Summer on July 5-9!

Crossings Ministries exists to proclaim the Gospel and to see God transform lives, grow leaders, and partner with the church to the glory of Christ. While at Crossings Student Camp, your students will hear the gospel proclaimed, engage with God’s word, and experience Christ-centered worship.

Register and pay $100 deposit by June 12. Total cost is $300, which is due by the date of the trip.

50 spots are reserved for students. Contact Pastor Steve Self ([email protected]) or Laura Hall ([email protected]) with questions.

Please submit your registration first and then pay your tickets after the webpage has refreshed.

Crossings Student Camp 2024

Name*
First Last
Address*
Street Address City State Zip
Parent Email*
Student Email
Gender*
Age*
Please enter a number from 10 to 60.
Grade*
BirthDate*
MM slash DD slash YYYY
T-shirt size*
Name of the person who invited you:
Medical Information
Insurance Carrier*
Policy #*
Physican's Name*
Physican's Phone*
List Allergies
List Chronic Illnesses
List drugs currently being taken
Is child subject to motion sickness?
What is child is able to take (or generic equivalent) for motion sickness?*
What is child permitted to take (or generic equivalent) for fever?*
What is child permitted to take (or generic equivalent) for headache?*
What is child permitted to take (or generic equivalent) for flu symptoms?*
Activity/Trip Information
Name of activity/trip you are registering for.*
Activity's Destination
Date of the activity
Parent's Initial*
PHOTO AND VIDEO PERMISSION
Do you give permission for your child to be photographed or videoed?*
By clicking yes, you grant permission for Crestwood Baptist Church to videotape or photograph your child or young person during the church event or normal activities. You understand these photos may be used as church promotional materials.
Emergency Contact Information
Home Phone*
Work Phone
Moblie Phone
Parent(s) or Legal Guardian(s) Name(s)*
Other person to contact if parent/guardian is not available
Phone
RELEASE, HOLD HARMLESS AND INDEMNITY
Name of Student*

I, the undersigned, as parent or legal court appointed guardian of _____________________, a minor under the age of eighteen (18), (“Minor”), with full authority to act on behalf of Minor, do hereby agree and give my consent to the Minor participating in the Programs and Activities at Crestwood Baptist Church. I, on my own behalf and on behalf of Minor, acknowledge that participating in the Programs and Activities involve certain risks and that injuries, death, or other harm (including damage to Minor’s property) could occur to Minor (“Injuries”). By allowing Minor to participate in the Programs and Activities, I, on my own behalf and on behalf of Minor, hereby assume full responsibility for the risk of Injuries, whether caused by negligence or otherwise. I, on my own behalf and on behalf of Minor, and our heirs, successors, assigns, executors and administrators, hereby RELEASE AND HOLD HARMLESS AND AGREE TO INDEMNIFY Crestwood Baptist Church of Crestwood, Kentucky, Inc. and its staff, volunteer leaders, members, employees, deacons, council members, Ministry and Church Leadership (hereinafter collectively referred to as “CBC”) from and against any and all liability, claims, damages, causes of action, loss, costs and expenses (including, without limitation, attorneys fees) for Injuries arising out of or connected with the Programs and Activities, including traveling to and from the Programs and Activities.
MEDICAL CONSENT AND AUTHORIZATION
If, while participating in the Programs and Activities, Minor requires emergency medical treatment, I hereby give my consent for any emergency medical care to be rendered to Minor as may be deemed necessary by any duly licensed physician or dentist. I hereby give my permission to CBC to obtain the emergency medical treatment at any hospital, clinic or other health care provider as may be deemed appropriate. In these circumstances, I hereby request and authorize any duly licensed physicians, dentists and staff, or other licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of Minor, including but not limited to medical transport, hospital tests, injections, anesthesia, surgery and administration of prescription drugs. I assume full responsibility for all medical expenses incurred as a result of such emergency treatment.
Do you grant the above medical consent and authorization?*
By clicking "submit" below, you certify that you are a parent or legal guardian of the above mentioned student and have read and understood this document in its entirety.
Parent/Guardian Signature

Details

Start:: July 5
End:: July 9
Cost:: $100.00 – $200.00
Event Category:: Student Ministry

Venue

: Crossings Camp
: 3083 Cedarmore Rd
Bagdad, KY 40003 United States + Google Map

Tickets

The numbers below include tickets for this event already in your cart. Clicking "Get Tickets" will allow you to edit any existing attendee information as well as change ticket quantities.

DEPOSIT Crossings Student Camp 2024

$100.00

5 available

REMAINING BALANCE Crossings Student Camp 2024

$200.00

5 available