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Bible Impact Ministries; Reaching Tomorrow’s Leaders, Today!
Please list the first and last names of all members of your group as well as the ages of any minors.
Please list any relevant skillset that you or a group member could lend your expertise.
Please let us know of any medically necessary dietary needs, such as allergies, we can accomodate and our kitchen manager will be in contact with you. If you have any other food concerns please call the office and ask for the kitchen manager.
Please list the names and dates on separate lines.
Please list any allergies (bee stings, medications, etc) a member of your party has AND their reactions and treatments
Current Medications Taken (names, dosage, etc)
Please list any physical, mental, or psychological conditions requiring medication, treatment or special requirements. (Eg: Epilepsy, Fainting, Diabetes, Asthma
Please let us know any other information you would like us to know
Please break the list down by individual
How do you know the emergency contact?

By clicking submit below, I GIVE PERMISSION for Whispering Winds Bible Camp (WWBC) to secure medical treatment for myself, my spouse, or my child in case of illness or accident. I GIVE PERMISSION for my child to participate in all Camp activities, both on and off camp property, either by walking or riding in camp vehicles, including (without limitation): hiking, backpacking, canoeing, kayaking, caving, water tubing, low ropes course, climbing wall and swimming. I ACKOWLEDGE AND ACCEPT the risks involved in camping activities for myself, my spouse, or my child. I ACCEPT personal financial responsibility for any bodily injury sustained by myself, my spouse, or my child while at WWBC. Furthermore, I PROMISE to hold harmless WWBC and its representatives for any injury related to Camp. I GIVE PERMSSION for my child to receive Bible-based instruction while at WWBC. I AGREE for myself, my spouse, and my child to abide by the dress standards and rules of conduct of WWBC. I GIVE PERMISSION for WWBC to use pictures including myself, my spouse, or my child in organizational publicity.

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Bible Impact Ministries
Whispering Winds Bible Camp
599 Mound Ridge Road
Cook Station, MO 65449
Voice: 573-265-7445 FAX: 573-265-5052