A simple picture of the front and back of your insurance card from your phone will be sufficient.
If you are unable to upload your insurance card at this time, please email it to the church office at firstname.lastname@example.org as soon as possible.
Parent or Guardian Information
Emergency Contact Information (Not the Parents/Guardians)
Person(s) Authorized to Check Out Camper
In addition to the parent(s)/guardian(s) listed above, by submitting this form, you authorize Trinity Baptist Church to allow the individuals listed below to pick up your child.
To pay offline, select the option above that says "Pay Offline $0". If offline payment is desired, you need not fill out any credit card information. Instructions to make your offline payment are below.
Offline payment can be dropped off at the church office or mailed to: Trinity Baptist Church P.O. Box 618 Danielsville, GA 30633 Make checks payable to Trinity Baptist Church (mark Kids Camp and your child's name)
By submitting this registration, I give my child, whose name is indicated above, permission to participate in Trinity Baptist Church's 2019 Kids Camp.