• 2022 Jr. Camp Registration:

    August 1 - 5
  • CAMPER INFORMATION

  •  -  - Pick a Date
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  • MEDICAL INFORMATION

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  • MEDICAL RELEASE AND SIGNATURE

  • "I agree to support Countryside Baptist Church in their conduct regulations for my child while at the 2022 Countryside Junior Camp. In case of a medical emergency, I understand every effort will be made to contact a parent or guardian of my child. In the event I cannot be reached, I hereby give permission to the physician selected by the Countryside leaders and/or onsite camp staff at Amazing Grace Baptist Camp to hospitalize and secure proper treatment for my child as named above. I also affirm that the medical information on this form is complete and correct."

  • NOTE: The above electronic signature will be regarded with equivalence to a written signature.

  • Note: All payments will go through the Countryside offering. You can put cash or a check into an envelope labeled with your student's name and "Junior Camp" written on the envelope and drop it in the offering boxes, or mail to PO Box 3652, Olathe, KS 66062. Make checks payable to Countryside Church, or you can make your payment online at www.cside.org/give/ Select the "Junior Camp" option and proceed with payment. Final Payment will be due by July 1st

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