Camp Ignite Registration

Name *

First Name

Last Name

Gender *

Male

Female

Phone *

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

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Secondary Emergency Contact

First Name

Last Name

Secondary Emergency Contact Phone

(###)

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*

All participants of TSI Camp Ignire must also complete the liability form provided in the confirmation email. Any person under the age of 18 years will need a parent signature on this form as well. Please carefully read the following information. I understand that I am under the care of the retreat organizing committee and will therefore abide by the rules presented at the start of the camp. I understand that if personal instructions/additional rules are given to me they are for my protection and safety. I will always stay in a group of at least two other members of the retreat (a total of three or more) and will always inform the organizers of where it is the group and myself will go. Failure to do so may result in a severe warning. Registration is not complete until payment is completed.

I have read and agree to the terms detailed above