• 2021 Royal Family Kids Camp Camper Registration Form

    A Camp for Foster Children 7-11 Years Old
  • Sponsored by Brightmoor Christian Church 40800 W 13 Mile Rd Novi MI 48377

    Instructions: This form must be completely filled out without closing the active session/tab. * indicates a required field. If the page will not allow you to submit, then check for a missing entry of a required field. Your application will not be processed until all information has been received.

    Please mark your calendar with these important dates:

    CAMP is July 26 - July 30, 2021

    If you have any questions throughout this application, please send an email to campers@novirfkids.org.

  • Camper Information

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    Pick a Date
  • Camper History

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    Pick a Date
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    Pick a Date
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  • Camper Medical Information

  • Immunization History: Please email a copy immunization record to campers@novirfkids.org or upload below:

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  • IMPORTANT NOTE: MEDICATIONS MUST BE IN ORIGINAL PERSCRIPTION BOTTLES FROM PRESCRIBING PHYSICIAN. Campers must be accompanied by proper dosages for the duration of the camp week.

  • I give the the Royal Family Kids camp nurse permission to administer the following over the counter products according to manufacturer's instructions, or as otherwise specified, if needed. Please check any that you do not wish to be administered. The Royal Family Kids camp registered nurse will use their best judgement as situations arise, and if in doubt, he/she will call for verification. 

  • I hereby authorize Royal Family Kids camp nurse(s) to administer medication from 07-26-2021 to 07-30-2021

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  • Medical Release: This health history is correct so far as I know, and the above named minor has permission to engage in all prescribed program activities, except as noted. The undersigned do hereby authorize the directors of Novi Royal Family Kids camp or such substitute as they may designate as agent for the undersigned to consent to an X-Ray examination, anesthetic, medical, dental or surgical diagnosis or treatment and hospital care for the above minor which is deemed advisable by and to be rendered under the general or special supervision of any physician or surgeon, liscensed under the provision of the Medicine Practice Act or any dentist liscensed under the Dental Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, camp or elsewhere. This authorization will remain effective while the minor is in route to and from or involved or participating in any camp program, unless revoked in writing by the undersigned and delivered to the directors of Novi Royal Family Kids camp as legal guardian/foster care case manger/other.  

    COVID-19 Release: I understand and agree that if my camper is showing signs of COVID-19 I will keep them home. I understand if my camper shows
    signs of COVID-19 while at Royal Family KIDS Camp Novi, they will be quarantined and a guardian will be required to pick the camper up immediately.

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  • Foster Parent/Legal Guardian Information

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  • Royal Family KIDS Mentoring Club Program

  • Kids who have attended Royal Family KIDS Camp can apply for Royal Family KIDS Club. RFK Club will provide fun times with their own matched adult mentor (trained and cleared) for 4 hours a month plus once-a-month Club time events during the school year. Approved Mentors can help with transportation and there is no fee for participation.  Club participation includes a backpack, club shirt and other Club materials.

  • LIMITED ENROLLMENT AGREEMENT FOR CAREGIVERS: By selecting yes in the question above I understand that the number of children matched and admitted is limited by the number of mentors available, and that age and geography are also limiting factors.  As part of the matching process, and I give permission for Camp staff to share my child’s Camper Application information (including social worker contact information) with Club leaders in order to better match my child to a qualified mentor.

    If a mentor is available, you will be contacted by the Club Mentoring Director later in the summer to discuss the match with a qualified mentor for your child during the next school year.

  • By signing below, I certify all information in this application is true and correct to the best of my knowledge:

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  • THANK YOU!

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