Clone of 2020 Girls Camp Registration

Camper Information

Choose one *

Blaze Girls Camp: Registration by April 30, 2021; $103.00 Blaze Girls Camp; Registration May 1- June 11, 2021; $113.00

Camper Name *

First Name Last Name

Address *

Physical Address

Mailing Address

City State

Postal / Zip Code

Birthdate *

What age will your child be at camp? *

8 years old 9 years old 10 years old 11 years old 12 years old 13 years old

What grade will your child complete in May? *

2nd grade 3rd grade 4th grade 5th grade 6th grade

What church does Camper attend? *

Has Camper accepted Christ as Savior? *

Has Camper been baptized? *

Can Camper swim? *

Does Camper have permission to swim? *

Camper T-Shirt Size *

Bunkmate request:

One person close in age to camper

Parent(s) or Guardian(s) Information

Primary Contact's Name *

Primary Contact's Relationship and First & Last Name

Primary Contact's Number *

Primary or cell phone

Primary Contact's Additional Phone Number *

Work, landline, etc.

Primary Contact's E-mail *

Needed for communication with you

Secondary Contact's Name

Secondary Contact's Relationship and First & Last Name

Secondary Contact's Primary Number

Primary or cell phone

Secondary Contact's Additional Phone Number

Work, Landline, etc

If I cannot be reached please call:

Emergency Contact: *

Relationship & Name

Phone Number *

Primary or cell phone

Phone Number

Other contact number

Camper Health Information

List any allergies (including food), medical problems, or physical limitations Camper has

Does Camper take any medication? *

If yes, list medication and dosage instructions for each day Camper will need it. All medications (prescription and OTC) must be turned in at time or registration, in original containers, with doctor's recommended dosage and instructions on container.

Does Camper have a special diet that needs to be followed? *

Special food must be provided by you

Can we administer basic first aid to your child as needed? *

We will call you for anything beyond basic first aid

Can we give your child acetaminophen for pain or fever? *

Can we give your child ibuprofen for pain or fever? *

Parental/Legal Guardian Consent Forms

Check all that apply *

MEDICAL PERMISSION & ACKNOWLEDMENTS: My child has my consent to attend the Friendship Baptist Camp. It is my understanding in the event that I cannot be reached: The physician/medical facility has my permission to treat my child. I do not hold Friendship Baptist Camp or any of its agents or representatives responsible for the health and safety of my child while on the premises. I further certify that to my knowledge, my child has not been exposed to any contagious diseases within the last thirty days. I have read carefully and agree that my child will comply with all rules and regulations, either posted or stated by the camps staff, or risk being sent home from camp. PHOTO RELEASE: I understand that my child may be photographed or videotaped while at Friendship Baptist Camps. Friendship Baptist Association has my permission to use these pictures in promotional material and/or on the Association websites. I understand that no identifying information will be provided with the photos.

Parent or legal guardian signature and date

Sign now on a touch screen or sign at check-in on the first day of camp. Clear

Payment

Due upon submission *

Blaze Girls Camp Registration $ 113.00

Enter coupon

2021 Blaze Girls Camp