SLC Royal Family KIDS Camper application
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  • Important Information

  • 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 29 thru Aug 2, 2026
  • Childs Gender:*
  • Camp Date (Date Picker)
     - -
  • Date of Birth:*
     - -
  • Is the child a returning URK camper?*
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  • Child's Ethnicity*
  • Child's home environment*
  • Siblings of Child Applying to RFKC This Summer

    If sibling(s) of this child will also be applying to this camp, please provide their info so we can try and get all siblings to camp this summer. PLEASE MAKE SURE AN INDIVIDUAL APPLICATION IS SUBMITTED FOR THE OTHER SIBLING(S)
  • Does the child have a sibling/relative who would like to attend this camp*
  • Format: (000) 000-0000.
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 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
  • Caseworker/Child Placement Agency Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Background/Behavior Information

    Please fill this out to the best of your ability. We as RFKC staff want to make sure your child has a safe, healthy, fun time at camp. This information is extremely helpful!
  • How often does the child have nightmares?*
  • How often does the child wet the bed?*
  • How good of a swimmer is the child (check all that apply)?*
  • Does the child display aggressive behavior?*
  • Does the child bite other children or adults?
  • Does the child have any eating disorders or issues around food (check all that apply)*
  • How would you describe the child's hyperactivity(check all that apply)?*
  • How would you describe the child's attention span?*
  • How often does the child lie?
  • Please let us know how often this child runs away from a situation or from home?
  • Please let us know if -or how- the child may act out sexually?*
  • How often does the child have tantrums or anger issues?*
  • How does this child rate on the Autistic scale:*
  • Check all the boxes that are true about the child.*
  • Medical History + Medication Information

  • Format: (000) 000-0000.
  • Is child current on vaccinations?*
  • Illnesses and Medical Complications Past or Present (check all that apply)*
  • Rows
  • Will your child be bringing Prescription and/or Over-the-Counter Medications?*
  • 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?
  • 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?*
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