<p> Apostolic Brethren Inc. Youth Camp and Retreat Application Camper Info Name: ______Date: ______</p><p>Address: ______City: ______State: ______</p><p>Phone: ______Age: ______Male or Female (please circle one)</p><p>T-Shirt Sizes: Adult sizes Small – 4XL ______[Please choose one]</p><p>Youth Sizes: Small (6-8) – Medium (10-12) – Large (14-16) [Please Circle One] I, ______, will follow all the camp rules and give A.B.I permission to enforce these camp rules regarding myself or my child. I will participate in all activities and listen to camp counselors, Pastors, and Teachers. I am aware that I am responsible to pay for any damage caused by myself or my child and will take full responsibility for my own personal belongings.</p><p>Parent / Guardian Info </p><p>I, ______, Give my permission for myself, Son, or Daughter to attend the Apostolic Brethren Inc. Youth Camp / Convention or Spring Retreat at Camp Echoing Hills in Warsaw, Ohio. I will not hold the Apostolic Brethren, Home Church, or Camp Echoing Hills responsible for any injuries that may occur during the camp.</p><p>Parent Name: ______Phone Number: ______Parent Signature: ______Date: ______</p><p>Home Church Info Name of Church: ______Pastor’s Name: ______</p><p>Pastor’s Signature: ______Phone Number ______</p>
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