The cost of the Encounter is $125. PAYMENTS ARE NON-REFUNDABLE.
Please write a check made out to Harvest Assembly, and submit it to the Church Office 2 weeks prior to the Encounter. 525 Kempsville Road, Chesapeake, VA, 23320. Office Hours: Monday - Thursday: 9-4 pm.
CHILD MEDICAL RELEASE FORM
I do hereby consent and agree that the above named child may travel to Edge Christian Camp for the Encounter sponsored by the Harvest Assembly of God Church, and I hereby release Harvest Assembly of God Church, its leaders, staff, agents and volunteer assistants from any liability for accidents, illness, or injury which may be sustained by said child during the above mentioned activity.
I do further give consent for the leader or properly appointed staff member of Harvest Assembly of God, or their consulting physician to render to my child any emergency treatment, medical or surgical care that might be deemed necessary. Also when necessary for the execution of such care, I grant permission for hospitalization to an accredited hospital.