2025 Momentum Youth Camp Online Registration

2025 Momentum Youth Camp Online Registration

Completed 6th--Completed 12th Grade; June 9-13, 2025; Last day to register is May 28, 2025
Camper Information
Camper Name*

First NameLast Name
Biological Sex*
Address*

Physical Address

Mailing Address

CityState

Postal / Zip Code
Birthdate*
What age will your child be at camp?*

12 years old13 years old14 years old15 years old16 years old17 years old18 years old
What grade will your child complete in May?*

6th grade7th grade8th grade9th grade10th grade11th grade12th grade
What church does Camper attend?*
Has Camper accepted Christ as Savior?*
Has Camper been baptized?*
Can Camper swim?*
Does Camper have permission to swim?*
Camper T-Shirt Size*
Bunkmate request:
One person close in age to camper
Parent(s) or Guardian(s) Information
Primary Contact's Name*
Primary Contact's Relationship and First & Last Name
Primary Contact's Number*
Primary or cell phone
Primary Contact's Additional Phone Number*
Work, landline, etc.
Primary Contact's E-mail*
Needed for communication with you
Secondary Contact's Name
Secondary Contact's Relationship and First & Last Name
Secondary Contact's Primary Number
Primary or cell phone
Secondary Contact's Additional Phone Number
Work, Landline, etc
If I cannot be reached please call:
Emergency Contact:*
Relationship & Name
Phone Number*
Primary or cell phone
Phone Number
Other contact number
Camper Health Information
List any allergies (including food), medical problems, or physical limitations Camper has
Does Camper take any medication?*
You will be given a medication/dosage form to turn in at drop-off. All medications (prescription and OTC) must be turned in at time of drop-off, in original containers, with doctor's recommended dosage and instructions on container.
Does Camper have a special diet that needs to be followed?*
Special food must be provided by you
Can we administer basic first aid to your child as needed?*
We will call you for anything beyond basic first aid
Can we give your child acetaminophen for pain or fever?*
Can we give your child ibuprofen for pain or fever?*
Parental/Legal Guardian Consent Forms
Check all that apply *

MEDICAL PERMISSION & ACKNOWLEDMENTS: My child has my consent to attend the Friendship Baptist Camp. It is my understanding in the event that I cannot be reached: The physician/medical facility has my permission to treat my child. I do not hold Friendship Baptist Camp or any of its agents or representatives responsible for the health and safety of my child while on the premises. I further certify that to my knowledge, my child has not been exposed to any contagious diseases within the last thirty days. I have read carefully and agree that my child will comply with all rules and regulations, either posted or stated by the camps staff, or risk being sent home from camp.PHOTO RELEASE: I understand that my child may be photographed or videotaped while at Friendship Baptist Camps. Friendship Baptist Association has my permission to use these pictures in promotional material and/or on the Association websites. I understand that no identifying information will be provided with the photos.UNDER AGE 18 DRIVER: My child has permission to sign himself/herself into camp on opening day and sign himself/herself out on closing day. I have made my child aware that he/she must leave his/her vehicle parked in the designated area during the week of camp. My child understands that he/she will not be allowed to drive while camp is in session or be allowed to leave Friendship Camp for any reason. (If exceptions to this policy are needed the parent/guardian must make arrangements with the camp director and give us written permission.) Drivers under the age of 18 are not allowed to transport other minors, excluding immediate family members.
Parent or legal guardian signature and date

Clear
Sign and date now on a touch screen or sign at check-in on the first day of camp.
Payment

My Products*

Momentum Youth Camp Registration Registration fee includes meals, snacks, and a T-shirt

$175.00

Donation to cover the Service ChargeHelp us provide a great camp by paying the service fee. This enables us to spend more on programming for Momentum Youth Camp

$7.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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