2026 Spring Break Beauty Camp Registration Form

Camper Name
Last Name*
First Name*
Middle Name*
MaleFemale
Camper's Information
Address*
City*
State*
Zip*
Home Phone*

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Birth Date*

MonthDayYear
Grade entering in the fall*
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Parent /Legal Guardian 2
Relation 2
Work Phone 2

Area CodePhone Number
Cell Phone 2

Area CodePhone Number
Church Information
Church you attend
Church City
Church you are coming with (if any)
SmallMediumLargeX- Large2 -XL
Email Confirmation
Parents Email (camper confirmation will be sent by email)
Camper's Email
Other Information
Health Information

A health officer is on site at all times.
Health and Safety Policy

In the event of a serious accident or injury, it is our policy to contact the parent or guardian as soon as possible.

If there are any updates to your child’s health information on the day of registration, please notify the Health Officer at that time.

All medications must be brought in their original containers—this includes both prescription medications and vitamins. Medications that are not in original packaging will not be accepted. No exceptions. Additionally, all prescriptions must be labeled with the camper’s name and must reflect the correct dosage.

Please note that The Beauty Camp and its affiliates assume no financial or legal responsibility for any accident or injury. Campers will receive guidance on how to safely participate in all activities. We strongly encourage you to advise your camper to follow all camp rules and safety guidelines at all times to ensure a safe and enjoyable experience.
YesNo
YesNo
Date of last tetanus shot*
All fileds are required below. If nothing applies, please put "NONE" in the box. Thanks.
Any activity the camper should be restricted from?*
Any physical, mental or other condition that would require special attention or medication while at camp?*
List any past medical treatment that would be helpful for us to know.*
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
List all medications, both prescribed and over the counter, all medications will be turned into the health officer except rescue inhalers, bring all medication in original containers.*
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
- Be certain to enter your email address correctly on the registration form to receive confirmation via email with in 2 weeks
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel. The camp carries secondary insurance. I understand that the above named camper will only be released to the names listed above, an update may be done at registration. I certify that my child has my permission to attend camp and participate in all activites. I authorize The Springs to use my camper's picture, testimony, and video in any promotional material(web,print,or media) My child may recieve any e-mails from the camp.
Signature*

Clear
Electronic signature, please initial*
Should be Empty:

Camper Name

Camper's Information

Parent or Legal Guardian Information

Church Information

Email Confirmation

Other Information

Health Information

Camper Release