Camp -Living Waters
Registration Form
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Please print out this Camp-Living Waters Registration Form, fill it out completely and mail it with the appropriate payment made payable to J. W. Ronald to:

James Ronald
211 Davies Road
Saskatoon, SK
Canada S7K 7M9

Name: __________________________________________________________
Age: _______________
Phone Number: _______________
Address: __________________________________________________________
__________________________________________________________
__________________________________________________________
Hospitalization Number: ______________________________
Family Doctor: __________________________________________________________
To whom it may concern:
I give permission to the camper(s) to attend the summer camp, August 16-20, 2010.
Camp-Living Waters/J. W. Ronald are not responsible for any loss or injury at the camp.
I am responsible for acquainting the camper with the camp expectations and regulations.

Signature of Parent/Guardian: _____________________________________________
Date: ____________________