Mission and Vision
What We Believe
Student First Name
Student Email Address
Names of Legal Guardians
Emergency Contact Number
Secondary Emergency Number
Does your child have any allergies, special dietary restrictions, or medical issues our staff should know about?
Do you have any allergies, special dietary restrictions, or medical issues our staff should know about?
Special Needs or Medical Condition(s)
This section must be signed by the parent authorizing permission if the student is under 18 years old. Students over 18 may write their name here. By typing your name here, this gives consent for DCC to use videos and photos of the applicant for social media and other marketing purposes by DCC. You are also acknowledging you have read the Echo Rules form and your student will abide by them for the duration of the retreat. You are permitting for a youth to ride in a vehicle designated by the church, typically a chartered school bus or charter bus. Lastly signing here allows permission to seek medical attention for your child if we cannot get in touch with all emergency contacts after making full effort.
I Agree to these terms