Elementary Winter Camp - Servants Registration

December 27-29, 2019 | Event: Elementary Winter Camp
Location: Pine Cove - Columbus

From: December 27th, 2019
To: December 29th, 2019

For any issues with registration, please send an email to:
elementary@saintmarkhouston.org

Servant Information

Servant Name

Servant Email

This address will receive a confirmation email

Servant Phone

T-Shirt Size (Adult Sizes)

Please select one option.

Small Medium Large X-Large XX-Large XXX-Large

Servant's Church

Please select one option.

Holy Cross - Austin St. George - Arlington Archangel Michael - Bedford St. Mary - Colleyville St. Philopateer - Dallas St. Abanoub - Euless St. Meena - Fort Worth Archangel Raphael - Houston St. Mark - Houston St. Mary - Houston St. Paul - Houston St. Anthony - San Antonio St. Demiana - San Antonio St. George Lubbock

Emergency Contact Information

Emergency Contact Name (First & Last)

Emergency Contact Phone Number (XXX-XXX-XXXX)

Health Insurance Provider

Health Insurance Policy Number

Consent and Donation

By typing my name in the space below, I give St. Mark Coptic Orthodox Church and their representatives permission to care for, and in the unlikely event of an emergency, make emergency medical decisions for my child(children) whose name(s) are listed above. I also waive my right to pursue legal action against St. Mark Coptic Orthodox Church or their representatives.

Voluntary Contribution [Full Cost: $155]

Description

December 27-29, 2019

Event: Elementary Winter Camp
Location: Pine Cove - Columbus

From: December 27th, 2019
To: December 29th, 2019

For any issues with registration, please send an email to:
elementary@saintmarkhouston.org

Please Fix the Following

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