Camp Registration

The Blend Student Ministries will leave for Camp Anderson on Friday 9/13/19 and return on Monday 9/16/19.

Participant Information

Participant 1


Participant 2


Participant 3


Waiver of Liability & Hold Harmless Agreement

As of today, with the intention of being legally bound, I do hereby release from liability and agree to indemnify and hold harmless Free Life Chapel and its employees, representatives and agents (responsible for arranging travel and overnight activities) for any and all liability for personal injuries (including death), property loss or damages resulting from activities, travel, and overall interaction and involvement in the event of the Blend's 2019 Youth Camp Anderson Trip. The student agrees to abide by all the rules and regulations promulgated by Free Life Chapel. *

Household / Adult Primary Contact

Relationship to Participants: *


Register & pay in full from: 8/5 - 8/21/19 no t-shirt ($250.00)*T-shirt cost additional pricing

Payment Options

Choose your payment option.