WPCOB Camp Registration

Camp Registration 2025
Fill out registration form completely; all fields must be completed. Registration is not complete until clicking the "SUBMIT" button at the bottom of the form. Registration confirmation will be sent to the camper's e-mail address and the e-mail address provided for Parent/Guardian A (below).

If registering for BOTH Camp Colorado and Camp Mt. Hermon, separate registrations must be submitted.

IF REGISTERING ADULTS for Come Along with Me or Family Camp, submit a separate registration for the adults (i.e. if registering a family of 3 youth and 2 adults, submit one registration for the 3 children/youth, and one registration for the 2 adults).
Camp Choice*

Camp ColoradoCamp Mt. Hermon
How many campers would you like to register?*
CC SR High Director Email
example@example.com
CC Jr High Director Email
example@example.com
CC Junior Director Email
example@example.com
CC Pre Jr Director Email
example@example.com
CMH Come Along with Me Director Email
example@example.com
CMH Pre-Junior & Junior Director Email
example@example.com
CMH Junior High & Senior High Director Email
example@example.com
CMH Senior High Weekend Director Email
example@example.com
CMH Family Camp Director Email
example@example.com

Camp Colorado Camp Registration
Camper*

First NameLast Name
Camp Session Attending - Camper*
Gender*
Date of Birth*

MonthDayYear
Date
Current Grade in School*
Camper Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the email address for Parent/Guardian A (below).
Camper Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper Phone Number
Please enter a valid phone number.
Camper Phone Type
Home Church/Congregation
Dietary Restrictions
If restriction is due to allergic reaction, please include severity
Camper 1*

First NameLast Name
Camp Session Attending - Camper 1*
Gender (Camper 1)*
Date of Birth (Camper 1)*

MonthDayYear
Date
Current Grade in School (Camper 1)*
Camper 1 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 1 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Same address for all campers?

YesNo
Camper 1 Phone Number
Please enter a valid phone number.
Camper 1 Phone Type
Home Church/Congregation (Camper 1)
Same for all Campers

YesNo
Dietary Restrictions (Camper 1)
If restriction is due to allergic reaction, please include severity
Camper 2*

First NameLast Name
Camp Session Attending - Camper 2*
Gender (Camper 2)*
Date of Birth (Camper 2)*

MonthDayYear
Date
Current Grade in School (Camper 2)*
Camper 2 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 2 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 2 Phone Number
Please enter a valid phone number.
Camper 2 Phone Type
Home Church/Congregation (Camper 2)
Dietary Restrictions (Camper 2)
If restriction is due to allergic reaction, please include severity
Camper 3*

First NameLast Name
Camp Session Attending - Camper 3*
Gender (Camper 3)*
Date of Birth (Camper 3)*

MonthDayYear
Date
Current Grade in School (Camper 3)*
Camper 3 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 3 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 3 Phone Number
Please enter a valid phone number.
Camper 3 Phone Type
Home Church/Congregation (Camper 3)
Dietary Restrictions (Camper 3)
If restriction is due to allergic reaction, please include severity
Camper 4*

First NameLast Name
Camp Session Attending - Camper 4*
Gender (Camper 4)*
Date of Birth (Camper 4)*

MonthDayYear
Date
Current Grade in School (Camper 4)*
Camper 4 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 4 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 4 Phone Number
Please enter a valid phone number.
Camper 4 Phone Type
Home Church/Congregation (Camper 4)
Dietary Restrictions (Camper 4)
If restriction is due to allergic reaction, please include severity
Camper 5*

First NameLast Name
Camp Session Attending - Camper 5*
Gender (Camper 5)*
Date of Birth (Camper 5)*

MonthDayYear
Date
Current Grade in School (Camper 5)*
Camper 5 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 5 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 5 Phone Number
Please enter a valid phone number.
Camper 5 Phone Type
Home Church/Congregation (Camper 5)
Dietary Restrictions (Camper 5)
If restriction is due to allergic reaction, please include severity

Camp Mt. Hermon Registration
Camper*

First NameLast Name
Camp Session Attending - Camper*
Gender*
Date of Birth*

MonthDayYear
Date
Current Grade in School*
Camper Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper Phone Number
Please enter a valid phone number.
Camper Phone Type
Home Church/Congregation
Dietary Restrictions
If restriction is due to allergic reaction, please include severity
Camper 1*

First NameLast Name
Camp Session Attending - Camper 1*
Gender (Camper 1)*
Date of Birth (Camper 1)*

MonthDayYear
Date
Current Grade in School (Camper 1)*
Camper 1 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 1 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Same address for all campers?

YesNo
Camper 1 Phone Number
Please enter a valid phone number.
Camper 1 Phone Type
Home Church/Congregation (Camper 1)
Same for all Campers

YesNo
Dietary Restrictions (Camper 1)
If restriction is due to allergic reaction, please include severity
Camper 2*

First NameLast Name
Camp Session Attending - Camper 2*
Gender (Camper 2)*
Date of Birth (Camper 2)*

MonthDayYear
Date
Current Grade in School (Camper 2)*
Camper 2 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 2 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 2 Phone Number
Please enter a valid phone number.
Camper 2 Phone Type
Home Church/Congregation (Camper 2)
Dietary Restrictions (Camper 2)
If restriction is due to allergic reaction, please include severity
Camper 3*

First NameLast Name
Camp Session Attending - Camper 3*
Gender (Camper 3)*
Date of Birth (Camper 3)*

MonthDayYear
Date
Current Grade in School (Camper 3)*
Camper 3 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 3 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 3 Phone Number
Please enter a valid phone number.
Camper 3 Phone Type
Home Church/Congregation (Camper 3)
Dietary Restrictions (Camper 3)
If restriction is due to allergic reaction, please include severity
Camper 4*

First NameLast Name
Camp Session Attending - Camper 4*
Gender (Camper 4)*
Date of Birth (Camper 4)*

MonthDayYear
Date
Current Grade in School (Camper 4)*
Camper 4 Email

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Camper 4 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Camper 4 Phone Number
Please enter a valid phone number.
Camper 4 Phone Type
Home Church/Congregation (Camper 4)
Dietary Restrictions (Camper 4)
If restriction is due to allergic reaction, please include severity
Camper 5*

First NameLast Name
Camp Session Attending - Camper 5*
Gender (Camper 5)*
Date of Birth (Camper 5)*

MonthDayYear
Date
Current Grade in School (Camper 5)*
Email (Camper 5)

Confirmation EmailThis e-mail address will receive registration confirmation, as will the e-mail address for Parent/Guardian A (below).
Address (Camper 5 )*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number (Camper 5)
Please enter a valid phone number.
Phone Type (Camper 5)
Home Church/Congregation (Camper 5)
Dietary Restrictions (Camper 5)
If restriction is due to allergic reaction, please include severity

Parent/Guardian Information
Parent/Guardian A*

First NameLast Name
Parent/Guardian Address is the same as Camper Address*

Same as Camper AddressDifferent than Camper Address
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/ Guardian Email*

Confirmation EmailPayment link will be sent to this email address
Cell Phone*
Please enter a valid phone number.
Home Phone*
Please enter a valid phone number.
Work Phone*
Please enter a valid phone number.
Employer*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Work Email*
example@example.com
Parent/Guardian B

First NameLast Name
Parent/Guardian Address is the same as Camper Address

Same as Camper AddressDifferent than Camper Address
Address

Street Address

Street Address Line 2

CityState

Zip Code
Email

Confirmation Email
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Employer
Employer Address

Street Address

Street Address Line 2

CityState

Zip Code
Work Email
example@example.com

Emergency Contact

If parent/guardians not avaliable
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*

Confirmation Email
Cell Phone*
Please enter a valid phone number.
Home Phone*
Please enter a valid phone number.
Work Phone*
Please enter a valid phone number.

Transportation
Expected Transportation Method*

Parent/GuardianSelfChurch Van/Other
Person(s) authorized to take child(ren) from camp*
Person(s) NOT authorized to take child(ren) from camp*
If none, type "None"

Health Information
Does your camper(s) have Health insurance?*

YesNo
If so, please upload a copy of camper's health insurance card (front & back). A picture is an acceptable format.

The camper's own health insurance will provide coverage should the camper become sick or injured. The camp carries a small amount of insurance (secondary) for uninsured campers, and parents will be responsible for any costs that exceed the camp's coverage.
Health Insurance Card Upload
Health Insurance Card - Camper

You can upload up to 2 files.
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Health Insurance Card - Camper 1

You can upload up to 2 files.
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Health Insurance Card - Camper 2

You can upload up to 2 files.
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Health Insurance Card - Camper 3

You can upload up to 2 files.
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Health Insurance Card - Camper 4

You can upload up to 2 files.
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Health Insurance Card - Camper 5

You can upload up to 2 files.
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Health Form Upload
Please upload a copy of the camper's completed health form (found here). Because this online registration form is not encrypted, you may choose to mail the health form to your camp director.

If you choose not to upload this form here, it MUST be mailed to and received by directors at leat 2 weeks in advance of the start of camp - per state childcare regulations.
Health Form - Camper

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Immunization Form - Camper

Cancelof
Health Form - Camper 1

Cancelof
Immunization Form - Camper 1

Cancelof
Health Form - Camper 2

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Immunization Form - Camper 2

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Health Form - Camper 3

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Immunization Form - Camper 3

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Health Form - Camper 4

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Immunization Form - Camper 4

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Health Form - Camper 5

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Immunization Form - Camper 5

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Authorization for Emergency Medical Care

By typing my initials below, I hereby give my permission to camp officials to call a doctor or emergency medical service, and for the doctor, hospital or medical service to provide emergency medical or surgical care for my child(ren) should an emergency arise. It is understood that camp officials will make a conscientious effort to locate the emergency contacts listed on the camp registration form before any action is undertaken. If it is not possible to locate emergency contacts listed, I/We accept the expense of emergency medical or surgical treatment (to the extent that it is not covered by my child’s health care insurance, or the limited camp-provided insurance).
Initials*
Parental Authorizations

Sunscreen:

By typing my initials below, I understant that camp staff will provide sunscreen to campers, with a minimum SPF 30, if the camper does not bring their own sunscreen.
Initials*
Special trips and excursions:

By typing my initials below, I give my permission for my child to make special trips and excursions under camp leadership.
Initials*
Child's Image:

By typing my initials below, I give permission for my child's image to be used in future camp promotional materials.
Initials*
Health Guidelines:

By typing my initials below, I understand that campers and staff are expected to follow health guidelines as posted on camp websites.
Initials*
Camper Expectations:

By typing my name below, I understand that all campers are expected to participate in the camp program and take direction from the Camp Manager, Camp Director, and Counselors/Staff. Campers who are consistently unable to follow camp rules and take directions, could, at the discretion of the Camp Director or Camp Manager, be asked to leave. Parents, under these circumstances, would then be contacted to make arrangements to have their camper picked up before the scheduled end of camp.
Parent/Guardian Signature*

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Camper Agreement

For camper to read and agree to

I understand that this camp is about living in Christian Community. All leaders and campers are expected to:
- Respect one another
- Respect the camp property, including the natural setting
- Use no profanity, tobacco products, alcohol, or illegal drugs
- Wear modest and appropriate clothing
- Participate and cooperate in activities
- Behave in a way that is not disruptive to the program
By typing their name below, the camper indicates their willingness to abide by these guidelines.
Camper Signature

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Camper 1 Signature

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Camper 2 Signature

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Camper 3 Signature

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Camper 4 Signature

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Camper 5 Signature

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Should be Empty:

Camp Registration 2025

Camp Colorado Camp Registration

Camp Mt. Hermon Registration

Parent/Guardian Information

Emergency Contact

Transportation

Health Information

Health Insurance Card Upload

Health Form Upload