AMP Camp at Bethany- Registration Form

Fill out the form below to join us for our first ever AMP Camp (PIZZA LUNCH INCLUDED) - free! Space is limited.

Students who complete AMP Camp will also be invited to play with our Worship Team during our church’s Sunday Worship Service the next morning at 10am (June 14)! (optional)

Age Requirements:
Guitar: Kids who want to learn guitar need to be finishing 5th grade-8th grade
Vocals: Kids who want to learn vocals need to be finishing Kindergarden-8th grade

Schedule:
Arrive and Check In: 9:30-10am
Lunch + Games: 12pm
Camp Ends: 2pm
Brief Parent Meeting: 2pm

Church Address: 3417 Rolesville Rd, Wendell NC
Church Website: www.WeAreBethany.com

Parent Name

Parent Email

This address will receive a confirmation email

Parent Phone

Emergency Contact Name

Emergency Contact Phone

Student 1:

First & Last Name

Age

Grade

Finishing Kindergarten Finishing 1st Grade Finishing 2nd Grade Finishing 3rd Grade Finishing 4th Grade Finishing 5th Grade Finishing 6th Grade Finishing 7th Grade Finishing 8th Grade

My child is interested in learning:

Guitar Vocals

For students interested in playing guitar: Do you have experience playing guitar? Yes (one year or less) Yes (1-3 years) Yes (3+ years) No

For students interested in playing guitar: Do you have your own 6 string guitar (not including toy guitars)? Yes, acoustic guitar Yes, electric guitar No, will need to borrow one

If you chose guitar, please confirm the following: My child is finishing 5th grade-8th grade (required to play guitar) Yes

If you chose vocals, please confirm the following: My child is finishing Kindergarden-8th grade (required to learn vocals) Yes

Note regarding allergy needs: We’ll be serving pizza for lunch along with a few general snacks during Amp Camp. If your child has any food allergies or specific dietary needs, we recommend sending them with their own lunch and snacks to help ensure their safety and comfort.

Student 2:

First & Last Name

Age

Grade Finishing Kindergarten Finishing 1st Grade Finishing 2nd Grade Finishing 3rd Grade Finishing 4th Grade Finishing 5th Grade Finishing 6th Grade Finishing 7th Grade Finishing 8th Grade

My child is interested in learning: Guitar Vocals

For students interested in playing guitar: Do you have experience playing guitar? Yes (one year or less) Yes (1-3 years) Yes (3+ years) No

For students interested in playing guitar: Do you have your own 6 string guitar (not including toy guitars)? Yes, acoustic guitar Yes, electric guitar No, will need to borrow one

If you chose guitar, please confirm the following: My child is finishing 5th grade-8th grade (required to play guitar) Yes

If you chose vocals, please confirm the following: My child is finishing Kindergarden-8th grade (required to learn vocals) Yes

Student 3:

First & Last Name

Age

Grade Finishing Kindergarten Finishing 1st Grade Finishing 2nd Grade Finishing 3rd Grade Finishing 4th Grade Finishing 5th Grade Finishing 6th Grade Finishing 7th Grade Finishing 8th Grade

My child is interested in learning: Guitar Vocals

For students interested in playing guitar: Do you have experience playing guitar? Yes (one year or less) Yes (1-3 years) Yes (3+ years) No

For students interested in playing guitar: Do you have your own 6 string guitar (not including toy guitars)? Yes, acoustic guitar Yes, electric guitar No, will need to borrow one

If you chose guitar, please confirm the following: My child is finishing 5th grade-8th grade (required to play guitar) Yes

If you chose vocals, please confirm the following: My child is finishing Kindergarden-8th grade (required to learn vocals) Yes

Agreements:

I grant permission for Bethany Baptist Church to take photographs and/or video of my child during this event. I understand that these images may be used in promotional materials, on church social media platforms, and in internal presentations. Sign your name below if you agree to these terms.

In the event of a medical emergency, I authorize the adult leaders and representatives of Bethany Baptist Church to seek medical treatment for my child. This includes, but is not limited to, first aid, medical care by licensed professionals, and transport via ambulance or emergency services if deemed necessary. I understand that every effort will be made to contact me immediately in the case of an emergency. Sign your name below if you agree to these terms.

If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/guardian) and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association. Sign your name below to agree to these terms.

AMP Camp at Bethany- Registration Form

Description

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