One Heart Camp 2021 Registration Form

Dates: June 30th - July 4th

Registration Fee
$75 per person (Early Bird)
$95 per person (after June 17)

Participant Info

How many child(ren) do you register?

1. Name

1. Gender

Male
Female

1. Grade graduating from

1. Date of Birth

1. Email

1. Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

1. Is your child vaccinated for COVID-19?

Yes
No, but he/she will be by the start of camp
No, but he/she can get tested and send in the results by June 30th

Code of Conduct Agreement

Please read this Code of Conduct with your child/youth to acknowledge your/his/her acceptance of, and willingness to adhere to the above-mentioned standards. If for any reason your child/youth is asked to leave the workshop, you/your family will be required to pay any costs incurred in your return home. The core staff will go over all of these points with the participants at the camp orientation.

As a participant in the OHC- LA workshop, I will abide by all the following conditions and requirements:

1. I will not smoke, drink alcoholic beverages, or take illegal drugs, or have any of these items in my possession. This behavior is grounds for immediate and unconditional expulsion from the workshop.

2. I will not deface any property or site, nor will I support or conceal such actions of others. I understand that I will be asked to leave the workshop immediately if I behave in this manner.

3. I will not engage is promiscuous or flirtatious behavior and I will dress according to the workshop dress code standards.

4. I will fully participate in all programs and activities unless the workshop nurse indicates that I am too injured or sick to participate.

5. I will respect and support all workshop site rules and regulations and encourage others to do the same.

6. I will fully participate with my assigned group, listen to my group leaders and workshop staff and I will always obtain my leader’s permission in order to leave team activities.

7. I will respect and support all people at the workshop site and I will not engage in or support any activity that may put others in physical, emotional, or spiritual danger.

8. I will make every effort to conduct myself in a dignified manner befitting a son or daughter of God.

I have gone over this with my child/youth so they understand the guidelines and standards at One Heart Camp.

I have read and agree to the terms above.

Parent Info

Parent's Name

Parent 's Email

Parent's Phone Number

Home Address

Total

$95.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Confirm Email

Phone Number

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