Registration Form 2024

King Solomon Christian Camp

Registration Form 2024
If you have any trouble with the online registration form or process, please email kingsolomoncamp@gmail.com. Once you've completed the form, payment, and successfully submitted, we recommend closing the tab on your internet browser, especially on mobile devices, to avoid an accidental double submission & payment. We look forward to seeing your kids/students at camp this summer!
Camper Information

(each item with a red asterisk is a required field)
Camper's Name*
Birthday*
mm/dd/yyyy
Biological Sex*
Grade Entering in Fall of 2024*
Has your child/student been baptized?*

YesNo
What Church Do You Attend? -or- What Church Is the Camper Attending Camp With?*
Camp Registering For?*
If you are registering your child for Day Camp, will anyone accompany the child to camp?

YesNo
If yes, who will be accompanying the child?
If yes, is this person willing to assist with camp activities? (Please be aware there is a $5 cost for lunch for each attending adult not volunteering as camp staff.)

YesNo

Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
Parent/Guardian E-mail*

Confirmation Email(this email address will be used for communication purposes)
Cell Phone*
Home Phone
(optional)
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
How would you prefer to be reached while your child is at camp?*

Cell PhoneHome Phone
Parent/Guardian 2

(this section optional)
Parent/Guardian 2 (optional)

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

YesNo
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
How would Parent/Guardian 2 prefer to be reached while your child is at camp?

Cell PhoneHome Phone

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you.
Emergency Contact #1
Emergency Contact #1*

First NameLast Name
Primary Phone Number*
Secondary Phone Number*
Relationship to Child*
(e.g., grandparent, family friend, aunt, etc.)
Emergency Contact #2

(optional)
Emergency Contact #2 (optional)

First NameLast Name
Primary Phone Number
Secondary Phone Number
Relationship to Child
(e.g., grandparent, family friend, aunt, etc.)
Authorized/Unauthorized Pickup
Who is dropping off your child at camp?*
(e.g. parent, my church, youth minister, etc.)
Who is picking your child up at the end of camp?*
(e.g. parent, my church, youth minister, etc.)
Is there anyone specific who is NOT authorized to pickup your child from camp?*

YesNo
If yes, please type name(s) here:

Payment*

Rookie Camp (June 15)$40.00

No late fee

1st-2nd Grade Camp (June 13-14)$110.00

Earlybird discount has expired, add $10 late fee ($120 total)

3rd-4th Grade Camp (June 10-12)$165.00

Earlybird discount has expired, add $15 late fee ($180 total)

5th-6th Grade Camp (June 24-27)$220.00

Earlybird discount has expired, add $20 late fee ($240 total)

Middle School Camp (Grades 6-8) (June 17-21)$275.00

Earlybird discount has expired, add $25 late fee ($300 total)

High School Camp (June 3-7)$275.00

Earlybird discount has expired, add $25 late fee ($300 total)

Enter coupon

Subtotal $0.00Shipping $0.00Total $0.00

In order to check the boxes below that you have read and agreed to the terms, you must scroll to the bottom of each of the following text boxes. (We'd love it if you would actually read them!)
Signature*
Date Signed*

MonthDayYear
Date
REMINDER: Once you've completed the form, payment, and successfully submitted, we recommend closing the tab on your internet browser, especially on mobile devices, to avoid an accidental double submission & payment.
Should be Empty: