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Camp Dates: June 11, 2018 - June 15, 2018

9 AM - 3 PM 

* Registration Deadline is May 25th*

Location: New Bridge Church / 1446 Calvin Davis Circle, Lawrenceville, GA 30043

Children need to bring their own sack lunch each day labeled with their name. Elijah Camp strives to be a peanut-free camp so please help us protect those with allergies. 

PRICING

Early Bird (March 23-April 15) $115.00

Regular (April 16-May 25) $125.00

Late (May 25-June 11) $140.00

Multi family (2) $200.00

Multi family (3) $285.00

Multi family (4) $350.00

**Group discount is available for groups with 10 or more. Please contact kids@ihop-atlanta.com.**

PARENT INFORMATION SECTION

Either a parent or legal guardian may register a child.

EMERGENCY CONTACT INFORMATION

CHILD INFORMATION SECTION

All children must be 6 years old by June 11th in order to attend camp.

If field is not applicable, write or select N/A

Child 1

Child 2

If not applicable write N/A

Child 3

If not applicable write N/A
If not applicable, write N/A

Child 4

If not applicable write N/A

CHECK IN/OUT INFORMATION

Check In: On Monday, the first day of camp, you can check in between 8:30-9 AM. On Tuesday-Friday, you can check in by 9 AM

Check Out: Monday- Friday: Please pick up your children at these times:

Last Name A-I & Groups: 3:00 PM

Last Name J-N: 3:10 PM

Last Name O-Z: 3:15 PM

HEALTH INSURANCE AND LIABILITY INFORMATION

The parent or legal guardian applicant of this form gives permission for the child/children applicant of this form to participate in all camp activities from June 11th through June 15th 2018, unless otherwise stated. I give full permission for my child/children to be photographed and video and to have his/her/their photos used in publicity photos/films. I assume full responsibility for the risk and/or occurrence of personal injury, death, and/or property damage due to the negligence and/or fault of the parties released by this document, and/or due to the condition of the premises on which the activities will take place, whether such negligence, fault, and/or condition of the premises is present at the signing of this agreement or takes place in the future. I release IHOP Atlanta, New Bridge Church, any affiliated organizations, staff or volunteers from all claims, demands, actions, rights of action, or other legal rights to claim compensation for any loss, injury or illness, which I or my child/children/legal trustee may sustain as a result of their participation in the camp. Further, I agree to indemnify and hold all parties released by this document harmless from any such claims or demands. Furthermore, I give my permission to the IHOP Atlanta & New Bridge Camp Directors to act in my place as a parent/guardian in cases where consent is required in emergency situations and to provide medical treatment as may be required due to any injury/illness my child/legal trustee may sustain during camp. I do release, acquit, discharge and covenant to hold harmless IHOP Atlanta & New Bridge Church, its staff, volunteers and all attending health care professionals from all actions, damages or liabilities arising out of the treatment of any illness, injury, or accident incurred during my child’s/children's participation in this event. It is the intention of this release that IHOP Atlanta & New Bridge Church, its staff, volunteers and all attending health care professionals incur no liability whatsoever while attempting to meet all medical needs that my child/legal trustee may require during this event.

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