SLC Royal Family KIDS Camper application

FOR CHILDREN AGES 7-11
Utah Royal Kids 8575 S 700 E Sandy UT 84070

For the Children Sandy GSLC (Chapter RFK Camp #113)

Camp Dates: July 30 thru Aug 3, 2025
Important Information

Thank you for your interest in Utah Royal Kids (URK) camp. This link will take you to an application to register your child(ren) for URK 2025, camp dates are Wednesday, July 30, 2025 thru Sunday, Aug 3, 2025. The application will ask for information about your child's medical needs, any eating disorders, child and family history, behaviors as well as other questions to ensure the safety and security of your child while they are at camp. A head shot photo of the child will need to be uploaded along with the application. All information is kept confidential. Please fill out ONE APPLICATION FOR EACH CHILD you are registering. Children ages 7-11 who are, or were, involved in the child welfare system, including those that have been adopted, are eligible for camp. However, priority is given to returning children and children currently living in a foster home. Please note completing the application does not guarantee the child a spot at camp. You will be notified if the child has or has not been guaranteed a spot to camp no later than end of June. The number of children we can take to camp is determined by the number of volunteers we have so please be patient with us as we get confirmation letters out when children are guaranteed a spot. If you have any questions please contact our Child Placement Coordinator, Christine McAtee at 801-808-9069 or royalfamilykids@hotmail.com. Thank you and we look forward to seeing you in July 2025.

All fields marked with* are required and must be completed.
Name of person filling out application:*

First NameLast Name
Relationship of person doing app for child:*
Phone Number of person doing app*
Email of person doing app*
example@example.com
Parent/Guardian Information
Parent/Legal Guardian, same as person doing app
Parent/Legal Guardian Name:*

First NameLast Name
Relationship of parent/legal guardian to child:*
Phone Number of parent/legal guardian*
Email of parent/legal guardian*
example@example.com
Address of legal Guardian:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What date was the child placed in home: *
How many foster or residential placements has the child had, including current home:*
Emergency Contact, same as person doing app
Emergency Contact*

First NameLast Name
Emergency Contact Phone #*
Emergency Contact email*
example@example.com
Authorized adult to pick child up at Good Shepherd Lutheran Church - 8575 S 700 E Sandy, Utah

Pick up time is 11:00am -noon Sunday, Aug 3 2025
Authorized adults that will be picking the child up will need to show photo Government ID**
Caseworker/Child Placement Agency Information
Childs placement/caseworker agency name:
Childs placement/caseworker name:

First NameLast Name
Childs placement/caseworker phone #
Child placements/caseworker email
example@example.com
CASA (Court Appointed Special Advocate) name, if the child has one

First NameLast Name
CASA Phone #

All fields marked with* are required and must be completed.
What specific activities should we ENCOURAGE your child to do while at camp?*
What specific activities should be DISCOURAGED while at camp?*
Please tell us what this child's interests, passions, loves, are so our Staff can make camp even more special. What are their strengths, positive traits, and characteristics (i.e. Loves sports, crafts, favorite food, favorite color, favorite animals...whatever!)*
At camp, we have a ratio of 2 campers of similar age paired together with 1 counselor/mentor. Will this scenario work well for the child?

YesNo
Please explain what additional support your child may need?
How did you hear about Royal Family KIDS Camp
Stay Connected through our Mentoring Club

Mentoring Club is designed for any child that has attended Royal Family KIDS Camp
Throughout the school year campers and their mentors attend a once a month mentoring club meeting. Mentoring club is a place where a camper can reconnect with many of the participating staff members from camp as well as build lasting friendships with the other mentoring club kids. Club KIDS enjoy the same songs, games, and friends they met at camp, which reinforces stability and character strength in their lives. Are you interested in finding out how this child can be part of the Mentors Program throughout the 2025-2026 school year?*

Yes - Please register the child for mentoring.Maybe - Please send me more information!No, thank you
Type a question
PRINT NAME

First NameLast Name
Clear
Should be Empty:

	Yes	No
Acetaminophen (Tylenol) 325mg tabs
Acetaminophen Liquid (Tylenol) 160mg/5ml
Ibuprofen (Advil) 200mg tabs
Ibuprofen Liquid (Advil) 100mg/5ml
Diphenhydramine (Benadryl) 25mg tabs
Diphenhydramine Liquid (Benadryl) 12.5mg/5ml
Dextromethorphan (Delsym) 15mg/5ml
Calcium carbonate chewable (TUMS)
Cough Drops (generic)
Phenol spray (Chloraseptic spray)]
Triple antibiotic ointment (neosporin)
Hydrocortisone cream 1%
Hydrogen Peroxide OTC
Solarcaine topical
Immodium (anti diarrhea)
Pepto Bismal liquid and chewables (anti nausea)
Calamine or Caladryl Lotion
Lice treatment/shampoo
Bactine (first aid/antiseptic/pain reliever)
Sunblock/Sunscreen
Lip Balm
Melatonin

Important Information

Siblings of Child Applying to RFKC This Summer

Parent/Guardian Information

Authorized adult to pick child up at Good Shepherd Lutheran Church - 8575 S 700 E Sandy, Utah

Caseworker/Child Placement Agency Information

Background/Behavior Information

Medical History + Medication Information

Stay Connected through our Mentoring Club