Camp Beloved (MS)

Camp Beloved (Middle School) - 2024

July 20-22 | Schoenstatt-on-the-Lake | Sleepy Eye, MN
General Information
Camper's Name*

First NameLast Name
Sex*

MaleFemale
Grade*

6th7th8th
T-Shirt Size*
All sizes are adult sizes.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parish, City/Town*
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Phone Number*
Parent/Guardian's Email*
Please enter an email that is checked regularly.
Youth Code of Conduct & Signature
Youth Signature*

Clear
Date*

MonthDayYear

Permission Slip

To be filled out by parent/guardian.
Indemnity Agreement
I, First Name* Last Name* , give permission for my child/ward, First Name* Last Name* , to participate in Camp Beloved on July 20-22.
I warrant that my child/ward is in good health. In consideration of my child/ward's participation, I agree to indemnify the parish/school, Schoenstatt, and the Diocese of New Ulm from any claims or lawsuits brought against the parish/school, Schoenstatt, and the Diocese of New Ulm in defense of such a claim/suit.
I agree that I am responsible for my child/ward's conduct and actions. The event sponsor is not responsible for any injury or damage incurred or caused by my child/ward. I understand that my child/ward is required to comply with the Code of Conduct provided by the Diocese of New Ulm while participating in the event. I understand that if my child/ward violates the Code of Conduct he/she may be required to be transported home at my expense and I agree to be financially responsible for any damages incurred by my son/daughter while in attendance.
Emergency Medical Treatment
Parent/Guardian Signature

Clear
Video/Photograph Permission
Medical Release Information
My child/ward's birthdate*

MonthDayYear
Date of last tetanus booster

MonthDayYear
Allergies
FOOD ALLERGIES should be communicated to Schoenstatt-on-the-Lake (see information in confirmation email you'll receive upon registration).
Medications
Indicate dosage, frequency, etc. - only relevant medications need to be listed.
Medical Conditions
Only relevant medical conditions need to be listed.
Insurance Company
Policy Carrier
Policy Number
Emergency Contact Information
Contact #1 Name*

First NameLast Name
Relationship to child/ward*
Contact #1 Phone Number*
Cell phone is preferred.
Contact #2 Name*

First NameLast Name
Relationship to child/ward*
Contact #2 Phone Number*
Cell phone is preferred.
Signature
Parent/Guardian Signature*

Clear
Date*

MonthDayYear

You're almost done!

We just need some things for our records...
How will you be paying?*
NOTE: If you are paying for multiple campers, please specify this at checkout.
FAMILY DISCOUNT: If there are other family members attending this or any other diocesan camp, what are their names?
***Upon registration, you will be sent a confirmation email.***

The email will contain important camp information, so be sure to read it!
Should be Empty:

Camp Beloved (Middle School) - 2024

General Information

Youth Code of Conduct & Signature

Permission Slip

Indemnity Agreement

Emergency Medical Treatment

Video/Photograph Permission

Medical Release Information

Emergency Contact Information

Signature

You're almost done!

***Upon registration, you will be sent a confirmation email.***

Upon registration, you will be sent a confirmation email.