Creekside - COP Registration

We are thrilled that you will be joining us for COP this year! We have been praying for you and expect God to do big things during the week. So come with an expectant heart, look for where God is working, and ask God's help to listen and receive what He has already prepared for you.

Your student is not registered until all fees are paid!

Registration is required to receive a payment link. If you have already registered, and need to have a payment link sent to you, please click here and a member of the steering team will email you.

Due to scheduling challenges and increased fees for last minute planning, we are encouraging students' fees to be paid as early as possible. Pay early to save money!

Pay during this month	Students	Rising 6th Graders
March	$325	$85
April	$350	$85
May	$400	$85
June 1- 13	$425	$85
June 13 is the last day to register!

Student Information

First name

Last name

Birthdate Please enter a valid date.

Gender

T-shirt size (adult)

What grade will your student be NEXT SCHOOL year? Grade level - Other

Mobile Number - Enter all zeroes if not applicable

Student Medical Information

Do you have any disabilities, physical or mental handicaps, present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness or any other significant medical condition?

Yes

If "YES" please state condition and explain in detail

Do you have any dietary restrictions we should know about?

Gluten Free	Peanut Allergies
Vegetarian	Other

Dietary requirements

Do you have any allergies to animals?

Yes

What animal are you allergic to? Required

What reaction do you have? Required

What treatment do you need? Required

Parent / Guardian Information

Primary Parent / Guardian Contact Information

Parent First name

Parent last name

Preferred phone number

Email Please enter a properly formatted email address

Second Optional Parent / Guardian Contact Information

Parent name

Preferred phone number

Other Emergency Contact

Name

Phone

Relationship

Relative

Friend

Church Membership

Are you a Creekside Member?

Yes

Please enter the name of the Creekside member who invited you.
Enter one name only!

Rooming and team requests cannot be guaranteed

Waivers and Agreements

Please read the following waivers and agreements carefully. They include release of liability and the waiver of legal rights. The Waiver of Liability deprives you of the ability to sue certain parties. By agreeing electronically (clicking the boxes to the left of each document name), you acknowledge that you have both read and understood all text presented to you as part of the registration process and agree to abide by its instruction.

Policies
[ download / view ]

Creekside Waiver of Liability [ download / view ]

Creekside Student Ministry Retreat Conduct Contract [ download / view ]

Creekside Medical Authorization [ download / view ]

By entering my name below, I assert that I have reviewed and agree to all the waivers and agreements I selected above.

Electronic signature Required

A member of the Oversight team may contact you for further information