Case Makers Academy Application

Please fill in the application below. All information is confidential. Please also pay the camp fee ($50/child) to Firm Foundation NZ: 02-0888-0137025-083

Parent Name

Parent Phone

Parent Email

Parent Address

Local Church (if applicable)

Child Name (1)

Gender

Age

Special Behavioural, Dietary, Medical, or Other Needs

Child Name (2)

Gender

Age

Special Behavioural, Dietary, Medical, or Other Needs

Emergency Contact

Phone

I consent to the appropriate use by Firm Foundation New Zealand of images or video that includes my child(ren).

I give permission for my child(ren) to attend Case Makers Academy. My child understands the purpose of this programme is to increase confidence in the Christian faith.

My child agrees to participate in the scheduled programme and follow programme rules.

I understand the programme includes sport and games and that there are hazards and risks associated with these activities. By allowing my child(ren) to participate in the scheduled programme, I acknowledge the risks involved.

Please share any questions or comments here:

Parent Full Name (takes the place of a signature)

Date

Address

Application Sent.

"...Built on the foundation of the apostles and prophets, Messiah Jesus himself being the cornerstone...."

- Ephesians 2:19-21

Case Makers Academy Application

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