THIS FORM MUST BE COMPLETED BY PARENT/GUARDIAN/CAREGIVER OF PARTICIPANT/NETTWORKER. PICTURE OF FRONT & BACK OF STUDENT'S INSURANCE CARD MUST BE UPLOADED WITH THIS FORM. PAYMENT MAY BE SUBMITTED WITH THIS FORM, OR PAID IN-PERSON AT THE CHURCH. Students in grades 5-12 will attend the 3-week session Monday - Thursday, beginning June 8, 2026.