Run Home Camps 2025 Johnstown PA Child Registration

Camp Dates: July 21-25

This is for first time campers only! Returning campers will be contacted separately
Meeting Place: Emmanuel Church, 425 Luther Road, Johnstown, PA 15904
This camp is now FULL. You may still submit an application but your child's name will be placed on the waiting list and we will let you know if a space becomes available.
FREE 5 day Baseball camp for boys (Ages 9-12) who have some baseball experience or none at all. ALL skills welcomed! This is an overnight camp - all food, bedding, toiletries, towels and any other needs are provided by the camp

Camper age is determined as of July 1, 2025
There is NO cost to attend Run Home Camps. PLEASE SUBMIT YOUR APPLICATION AS SOON AS POSSIBLE AS THERE ARE LIMITED SPACES AVAILABLE. Items with the red * are required.
IF YOU HAVE QUESTIONS about Run Home Camps (Also referred to as RHC below): Please contact the RHC office at safe@runhomecamps.org or by calling 877-978-6466
Please fill out ENTIRELY as progress cannot be saved. One application per child.
Child's Information
Child's Name*

First NameLast Name
Preferred Name (name he likes to be called)
Birthdate*

MonthDayYear
Child MChild LAdult SAdult MAdult LAdult XL
Parent/Guardian Information
Parent/Legal Guardian Name*

First NameLast Name
Adoptive ParentBiological ParentFoster ParentLegal Guardian
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Best Phone Number*

Area CodePhone Number
Parent/Guardian Email Address*
Authorized to Pick Child Up

Run Home Camps will only release the child to one of these individuals at the end of camp. Kids will return from camp at approximately 1:30 PM on the last day of camp.
FIRST adult authorized to pick up this child from camp *

First NameLast Name
Cell Number for Authorized Adult #1*

Area CodePhone Number
SECOND adult authorized to pick up this child from camp

First NameLast Name
Cell Number For Authorized Adult #2

Area CodePhone Number
Medical History + Prescription Medication Information
Prescription Medication: Reason for taking, DOSAGE, and Time(s) of Day - If none, type "NONE"*
List all known allergies to food, plants, medications, animals, etc. - If none, type "NONE*
Please describe any medical issues the child has currently or in the past. - If none, type "NONE"*
Background/Behavior

Please fill this out to the best of your ability. We as RHC staff want to make sure your child has a safe, healthy, fun time at camp. All children are welcome at Run Home Camps regardless of their background or history of behavior, but this information is extremely helpful to our staff.
Please tell us about this child's background story or any difficult life experiences.*
What behavior challenges has this child had either recently or in the past? Are there any physical, mental or emotional conditions we should be aware of?*
Prescription Medications & Permission
Yes, I am the legal parent or guardian of this child
Yes, I understand that sharing medical info, medications, and dosages are my responsibility.
I recognize that there may be occasions where the named participant may be in need of first aid or emergency medical treat-ment as a result of an accident, illness, or other health conditions or injury. I do hereby give permission for agents of Run Home Camps to seek and secure any needed medical attention or treatment for the named participant including hospitaliza-tion, if in the agent’s opinion such need arises. In doing so I agree to pay all fees and costs arising from this action to obtain medical treatment.I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and, again, I agree to pay for the medical treatment.*

Yes, I give my permission and accept responsibility for medical treatment
It is my understanding that participating in the programs and recreational and other activities of Run Home Camps is a privilege. I expressly warrant that I am a legal guardian of the named participant and that he has my permission to participate in all of the activities during the duration of the Run Home Camps including any required transportation. Prior to named participant’s participation in such activities, I acknowledge that there are certain risks associated with the activities, including, by way of example, physical injury due to activity-related accidents, physical injury due to transportation-related accidents, illness, or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware.*

Yes, I understand the risks of particupating
By checking this box I expressly warrant that I am a legal guardian of the named participant and that he is capable of withstanding both the physical and mental demands of the activities discussed above. I also expressly assume all risks of named participant’s participation in the activities, whether such risks are known or unknown to me at this time. I further release Run Home Camps and its leaders, employees, volunteers, and agents from any claim that I may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of my family or estate, heirs, representatives, or assigns may have against Run Home Camps or its leaders, em-ployees, volunteers, or agents.I further agree to indemnify and hold harmless Run Home Camps and its leaders, employees, volunteers, or agents from any and all claims arising from named participant’s participation in its activities and programs, or as a result of injury or illness during such activities.*

Yes, I agree to the release of liability
Parent/Guardian Signature*

Clear
Submission of a completed application does not guarantee your child a position at camp. One of our staff members will reach out to you to confirm your child's position.
Enter the message as it's shown*
Should be Empty:

Camp Dates: July 21-25

Meeting Place: Emmanuel Church, 425 Luther Road, Johnstown, PA 15904

This camp is now FULL. You may still submit an application but your child's name will be placed on the waiting list and we will let you know if a space becomes available.

FREE 5 day Baseball camp for boys (Ages 9-12) who have some baseball experience or none at all. ALL skills welcomed! This is an overnight camp - all food, bedding, toiletries, towels and any other needs are provided by the camp

There is NO cost to attend Run Home Camps. PLEASE SUBMIT YOUR APPLICATION AS SOON AS POSSIBLE AS THERE ARE LIMITED SPACES AVAILABLE. Items with the red * are required.

Child's Information

Parent/Guardian Information

Authorized to Pick Child Up

Medical History + Prescription Medication Information

Background/Behavior

Prescription Medications & Permission

Submission of a completed application does not guarantee your child a position at camp. One of our staff members will reach out to you to confirm your child's position.