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2012 Winter Campout at Duffield

Camp Duffield, Delevan NY
Friday, January 13 - Monday, January 16, 2012

We will leave the church at 6PM Friday (Please arrive by 5:45)
&
Return by 5PM Monday

Kids in 2nd - 5th Grade are Welcome to attend our annual Campout. They MUST have attended either Sunday School or CAMP Knox at least once.

The Cost of the campout is $40/child. We are currently accepting payment. (Checks made payable to Knox Church.) You may give the checks/cash to: Debbie Rife

The children will be staying in Keeler Lodge. The Lodge has separate lofts for boys and girls as well as separate washrooms & showers. It is a small and cozy atmosphere for the kids.

Your Children should bring:
-Bibles if they have one
-WARM outdoor clothing- SNOW PANTS ARE REQUIRED. (See Deb if you do not own these)
-Extra mittens/hats/scarves and socks. - We WILL be going outside in the elements.
-A snack and game to share

Use this form for up to 2 children in THE SAME FAMILY

Contact Deb Rife 864-4412 or children@knoxchurchbuffalo.com with questions about this campout

Emergency Contact # is 864-4412 (Deb's Cell Phone)

Name of child # 1 First Last
Name of Child # 2 First Last
EMERGENCY PHONE # ### - ### - ####
2nd Emergency Phone # ### - ### - ####
email address
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please list any allergies or special medication your child is taking
Please add any additional notes or comments that you feel we need to know:
By typing my name below, I give permission for my child(ren) listed above to attend the Winter Campout (ONLINE FORM ONLY) First Last
Parent Signature - I give my child(ren) listed above permission to attend the Winter Campout (NOT online version)
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