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NEWC19 Medical Form
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File Type:	pdf

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PERSONAL INFORMATION

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Gender *

Age *

Birth Date (MM/DD/YY) *

Student E-mail *

Parent / Guardian Name *

First

Last

Home Phone *

Cell Phone *

Parent E-mail Address *

Other contact in case of emergency *

First

Last

Home Phone *

Cell Phone *

Relationship to camper *

Person other than parent that child may go home with. *

Church *

Pastor's Name *

First

Last

Church Phone *

Church E-mail *

How did you hear about NEWC? *

MEDICAL INFORMATION

Please download and complete both pages of the Camper Medication form for NEWC 2019 (found at top of page).

IMPORTANT: All pages of the form must be filled out and signed by the teen, a parent/guardian, and the camper's Dr., P.A., or Pediatrician. If not completed, your child will not be able to attend camp.

Completed form can be mailed to: New Hope Fellowship, PO Box 96, East Bloomfield, NY 14443. Or submit a scanned copy via email to: neworshipcamp@gmail.com

MUSICIAN / SINGER INFORMATION

Primary Instrument *

Secondary Instrument *

WORKSHOP SIGN-UPS

Please select the workshops you wish to participate in during North East Worship Camp 2019.

Tuesday, July 9th *

Basic Keys: Designed for those who have little to no experience on the keys desire to learn the instrument. This workshop will teach you the basics of piano playing and hopefully will inspire you to add the piano to your musical repertoire.

Vocal Training: In this workshop you will learn techniques to warm up and train your voice as well as promote vocal health.

Basic Bass Guitar: Don’t know how to play the bass, but have always thought it would be awesome to? This workshop is for you! You will leave having gained a thorough foundational knowledge of the instrument.

Prophetic Musicianship: Did you know you can help lead spontaneous worship right from your own instrument? In this workshop you will learn how to create spirit-inspired melodies that will help bring your worship team into spontaneous worship moments.

Basic Drums: Don’t know how to play the drums, but have always thought it would be awesome to? This workshop is for you! You will leave having gained a thorough foundational knowledge of the instrument.

Wednesday, July 10th *

MainStage 101: Do you have a desire to broaden your keyboard playing horizons? Then this workshop is for you! MainStage is a type of software that can be download onto your laptop and will give you the tools you need to launch into a whole new level of creativity.

Basic Acoustic Guitar: This workshop is for those who have a desire to know how to play guitar but don’t know where to get started. Come learn the basics of chord structures, strum patterns, and more!

Prophetic Singing: Here you will be learning how to create spirit-inspired lyrics through scripture and melody.

Sound: Designed for understanding the ins and outs of working a sound board and mixing in the moment during worship sets.

Thursday, July 11th (AM workshops) *

Intermediate Keys: A workshop designed for those who have a basic/foundational knowledge on the keyboard and desire to dive deeper.

Co-Leading: Here you will learn how to work together with another leader to pick songs and flow through a set.

Sound: Designed for understanding the ins and outs of working a sound board and mixing in the moment during worship sets.

Basic Drums: Don’t know how to play the drums, but have always thought it would be awesome to? This workshop is for you! You will leave having gained a thorough foundational knowledge of the instrument.

Thursday, July 11th (PM workshops) *

Songwriting: Come to this workshop if you would like to dive into the process of writing original lyrics and melodies.

Intermediate Bass Guitar: Do you already know how to play the bass guitar? This workshop will help you acquire a deeper knowledge of your instrument.

Basic Electric Guitar: Designed for those who have little to no experience on the electric guitar but love the idea of knowing how to play. You will leave this workshop with a basic understanding of this instrument.

Intermediate Drums: Do you already have a foundational knowledge of the drums? This workshop was created to help you dive into deeper detail and skill of this instrument. Come check it out!

Friday, July 12th *

Ableton 101: Do you have a desire to broaden your keyboard playing horizons? Then this workshop is for you! Ableton is a type of software that can be download onto your laptop and will give you the tools you need to launch into a whole new level of creativity.

Intermediate Acoustic Guitar: Already have a foundational knowledge of the guitar? This workshop was created to help you dive into deeper detail and skill of this instrument. Come check it out!

Intermediate Electric Guitar: A workshop designed for those who already have a grasp on the basic concepts of the electric guitar but desire to expand their knowledge.

Stage Set Up: XLR? Snake? Direct Box? Snake? Having a knowledge of the equipment used on the stage is for more than just the sound guy. If you don’t know much about how to get a stage to be set-ready, or simply want to learn more, this workshop is for you!

When you have confirmed that all information is correct, please press submit then continue on to payment.

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PAYMENT

You can pay now by clicking the link to our Eventbrite registration page (online transaction fee of $10.23 applied during check-out). You may also send a check to our camp office:
PO Box 96, East Bloomfield, NY 14443.

Please make all checks payable to "NEW HOPE FELLOWSHIP”

NOTE: Your registration is not finalized and your spot is not confirmed until camper medication form and payment is received in full and our office has confirmed your registration by email. Please contact us with any questions you have.

EVENTBRITE CHECKOUT

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PERSONAL INFORMATION

MEDICAL INFORMATION

MUSICIAN / SINGER INFORMATION

WORKSHOP SIGN-UPS

PAYMENT