Summer Camp 2024 Registration

July 21st through July 27th, 2024

Please print and download these consent forms to be returned to the camp:

REC Consent Form

Student Information

Name

First Name

Last Name

Email Address

Sex

Male

Female

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Grade

Shirt Size (only applicable for Summer Camp)

XS

S

M

L

XL

XXL

Church

Church Phone

(###)

###

####

Parent/Guardian Information

Father

First Name

Last Name

Father Phone #

(###)

###

####

Mother

First Name

Last Name

Mother Phone #

(###)

###

####

With whom does the child live

Emergency Information

Emergency Contact

First Name

Last Name

Relationship to Child

Emergency Contact Number

In case parents cannot be reached

(###)

###

####

Insurance Policy Holder's Name

First Name

Last Name

Insurance Company

ID #

Group #

Special Instructions/ Information (Allergies/ Diet)

Over the counter medicine you would be comfortable with the camp nurse administering