PASSION CAMP 2025

When: July 14th - 18th 2025
Who: Current 8th - 11th grade (All rising High School Students Only)
Where: Daytona Beach, FL
Cost: $550 per student - (Sibling discount of $100. Use code: SIBLING at checkout)
Deposit:$150 - - (Cost includes 4 nights of lodging, camp meals, charter bus transportation, 3 awesome beach days and an experience students won't forget!)

Additional expenses: Any spending money and travel meals

Questions? Contact - Laura Genet at [email protected]

camp PAYMENT & REGISTRATION

PAY NOW

camp RELEASE FORM

The release form must be completed as apart of the student's registration.

Parent / Guardian Information

Parent / Guardian - 1

First Name

Last Name

Phone Number

Gender

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

How many students are you registering?

Parent / Guardian Information

Parent / Guardian -2

First Name

Last Name

Phone Number

Gender

Student Information

Student 1

First Name

Last Name

Phone Number

Birthdate

Gender

Grade

Allergies

Student T-Shirt Size

Does the student regularly attend RockPoint Student Ministry

Are they coming with another student that attends RockPoint?

What is the name of the student (friend) they are coming with?

Please share any additional information with our leaders that would be beneficial regarding your student.

Student Information

Student 2

First Name

Last Name

Phone Number

Birthdate

Gender

Grade

Allergies

Student T-Shirt Size

Does the student regularly attend RockPoint Student Ministry

Are they coming with another student that attends RockPoint?

What is the name of the student (friend) they are coming with?

Please share any additional information with our leaders that would be beneficial regarding your student.

Student Information

Student 3

First Name

Last Name

Phone Number

Birthdate

Gender

Grade

Allergies

Student T-Shirt Size

Does the student regularly attend RockPoint Student Ministry

Are they coming with another student that attends RockPoint?

What is the name of the student (friend) they are coming with?

Please share any additional information with our leaders that would be beneficial regarding your student.

Student Information

Student 4

First Name

Last Name

Phone Number

Birthdate

Gender

Grade

Allergies

Student T-Shirt Size

Does the student regularly attend RockPoint Student Ministry

Are they coming with another student that attends RockPoint?

What is the name of the student (friend) they are coming with?

Please share any additional information with our leaders that would be beneficial regarding your student.

Insurance & Emergency Information

Name of Person Who Carries Insurance

Insurance Policy Number

Group Number

Insurance Phone Number

Emergency Contact (First & Last Name)

Relationship to Student

Emergency Contact Phone Number

Waiver and Release Agreement

RELEASE AND WAIVER OF LIABILITY AND INDEMNITY: In consideration of participation in an event and/or activity promoted by RockPoint Church Chattanooga (Chattanooga Ministries, Inc), the undersigned (for himself, his personal representatives, heirs and next of kin) HEREBY RELEASES RockPoint Church, and their respective officers, pastors, employees, leaders, and agents ("releases") of all liability to the undersigned, whether caused by the negligent act or omission of releases or otherwise while the undersigned is for any purpose participating in such event or property use. It is fully understood by each of the undersigned that there is some inherent risk associated with any event or property usage. IN ADDITION, the undersigned AGREES TO INDEMNIFY AND HOLD HARMLESS the releases from any loss, liability, damage, or cost they incur due to such participation by the undersigned, and any guests (including minors) whether caused by releases' negligence or otherwise, and AGREES TO ASSUME FULL RESPONSIBILITY AND RISK for any bodily injury, death, or property damage from releases' negligence or otherwise while the undersigned is participating at this event or property use. TRANSPORTATION RELEASE: I also give my permission for myself or my child to be transported in a church, rental or private vehicle or common carrier. PERSONAL BELONGINGS RELEASE: I understand that RockPoint Church Chattanooga is not responsible for personal belongings. PHOTOGRAPH RELEASE: I give permission for RockPoint Church Chattanooga or its partner ministries to use photographs containing my image for informational and/or promotional purposes. In signing this release, each of the undersigned hereby acknowledges and represents the following: 1. That he/she (or guardian/personal representative) has read the foregoing Release and Waiver of Liability and Indemnity Agreement; and understands that (s)he is assuming liability and indemnifying us to any minor's damage or injury. 2. That (s)he is free to choose NOT to participate in the event or free not to use the property or facility. 3. RockPoint Church Chattanooga will not be financially responsible for injury, damages or incurred expenses from such. 4. This agreement is for events and/or activities promoted by RockPoint Church Chattanooga. 5. This release is binding upon my heirs, executors and assigns.

Signature

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