Maranatha Ministries Conference Center

Girls' Week (ages 9 - 12) Registration

For more information, please visit www.maranathafamilyministries.org/events/girls-week-ages-9-12.php

Please mail your completed registration along with signed liability agreement and payment to:

Maranatha Ministries
140 Merrymeeting Rd.
New Durham, NH 03855

Liability and Release Agreement

All those attending programs and volunteers agree to this release.

We understand and hereby agree to assume all of the risks which may be encountered on said activities, including activities preliminary and subsequent thereto. We do hereby hold Camp Maranatha Incorporated and its agents and employees harmless from any and all liability, actions, claims, expenses, and damages on account of injury to self, children or property, even injury resulting in death, which we now have or which may arise in the future in connection with the activity or participation in any other associated activities.

We expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of New Hampshire and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital.

 

                                                                           
   (Signature)                                             (Date)

Registration Form

Please RSVP by June 25

Event Girls' Week (ages 9 - 12)
Date(s) July 19 - 24
Please use separate form for each camper
Name                                                                                        
Mailing Address                                                                                        
City, State, Zip                                                                                        
Phone                                                                                        
Cost $210 per child. 2nd and 3rd child in family: $50 off. Additional children: free. ($100.00 payable upon registration, remainder payable upon arrival.) Please review our Financial Policies before printing and mailing in your registration.
Gender                                                                                        
Birth Date                                                                                        
Grade Finished as of June 2009                                                                                        
Cabin Mates Request                                                                                        
  (Please do not request cabins or counselors)
Check here if coming with a sibling and you want to be in the same cabin
Our main purpose for these weeks is to assist the parents in building character qualities into their children. Please list here one or more character qualities which you would like to see strengthened in your child.
(Gal. 5:22, Matt 5:3,12)                                                                                        
Health history required, physical requirement waived. In case of medical emergency, I hereby give my full consent to the physician selected by the camp director to hospitalize and secure proper treatment for my child as named above.
Parent/Guardian Signature                                                                                        
2nd Parent's Signature                                                                                        
If you have no phone, how can we locate you in case of emergency?
                                                                                                          
Confirmation will be sent within 4 weeks after we receive your form.