2024 Summer Camp Registration Form

Trinity Camp

Summer 2024
Week Of Camp Attending*
Camper Name
Last Name*
First Name*
Middle Name*
Gender*

MaleFemale
What Is The Camper's Shirt Size?*
Camper's Information
Address*
City*
State*
Zip*
Home Phone*
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*
Emergency Number #2
Birth Date*

MonthDayYear
Age*
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Cell Phone
Church Information
Church you attend
Church you are coming with (if any)
Email Confirmation
Parents Email (camper confirmation will be sent by email)
example@example.com
Other Information
How did you hear about Trinity?
First Time Camper? *

YesNo
Health Information

A health officer is on site at all times.
It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury. If the information has changed on the day of registration please see the health officer at that time. Please bring all medication in ORGIANAL CONTAINER or you will not be allowed to leave the medication or vitamins at the camp. No exceptions. All prescriptions must be in that campers name and the correct dosage.
Is camper free from infectious desease or conditions?*

YesNo
Are immunications up to date?*

YesNo
Date of last tetanus shot (If unknown - type unknown)
All fileds are required below. If nothing applies, please put "NONE" in the box. Thanks.
Any activity the camper should be restricted from?*
Any physical, mental or other condition that would require special attention or medication while at camp?*
List any past medical treatment that would be helpful for us to know.*
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
List all medications, both prescribed and over the counter, all medications will be turned into the health officer except rescue inhalers, bring all medication in original containers.*
Camp Fee $140.00

Payment Can Be Submitted Upon Arrival or below with a debit or credit card.
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
- Be certain to enter your email address correctly on the registration form to receive confirmation via email.
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel. The camp carries secondary insurance. I understand that the above named camper will only be released to the names listed above, an update may be done at registration. I certify that my child has my permission to attend camp and participate in all activites. I authorize Trinity Camp to use my camper's picture, testimony, and video in any promotional material(web,print,or media) My child may recieve any e-mails from the camp.
Electronic signature, please initial*

Registration Payment Selections:*

Registration Fee(Includes Registration Fee, T-Shirt & 1 Snack & Drink Each Snack Shop + Processing Fees)

$144.00 Quantity

Pay At Check-InI Plan To Pay At Time of Camper Drop-Off. No Payment Today & $140.00 Due On First Day of Camp.

$ Free Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Cash App Pay

Should be Empty:

Trinity Camp

Camper Name

Camper's Information

Parent or Legal Guardian Information

Church Information

Email Confirmation

Other Information

Health Information

Camp Fee $140.00

Camper Release

Payment Methods