• 2026 Camper Registration Form

    2026 Camper Registration Form

    3-Day Camp for Teens in Foster Care

  • Sponsored by Brightmoor Christian Church, 40800 W 13 Mile Rd Novi MI 48377

    Instructions: Please complete this form in its entirety. Should you need to pause and complete later, fill out contact information section, scroll to the bottom of form and select "save". An email will be sent to the address provided with a link to continue completing the application. 

    An "*" indicates a required field. If the page will not allow you to submit, check for a missing entry of a required field. Your application will not be processed until all information has been received.

    Please mark your calendar with these important dates:

    GIRLS Teen Camp July 18  - July 20, 2026
    BOYS Teen Camp Aug.1 - Aug. 3, 2026

     

    If you have any questions throughout this application, please contact our Camper Placement Coordinator: Amanda Narlock fosterteens@brightmoorcc.org

  • Your Contact Information

    Please fill out your contact information prior to completing the remainder of the application. Should you need to pause or get logged out, you will receive an email with a link to complete the application.
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  • Camper Information

  • Biological Sex*
  • Birth Date*
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  • T-Shirt Size*
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  • Date Entered Into Current Placement:*
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  • Has the teen previously attended Royal Family Kids Camp or Brightmoor Foster Teen Camp?*
  • Are any siblings in foster care?*
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  • Camper Personality

    Please help us get to know this teen better so we can provide positive interactions and camp activities.
  • Check The Boxes Which Best Describe The Teen Most Of The Time:*
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  • Camper Medical Information

  • Does your child have any known allergies, illnesses, disabilities, or physical limitations*
  • Is this a sexual abuse case?*
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  • Immunizations up to date?*
  • Date of last tetanus booster (TDAP)?*
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  • Does the teen have seasonal allergies?*
  • Does the teen have food allergies?*
  • Is the teen allergic to bees?*
  • Does the teen carry an epi pen? If Yes, they must carry it at camp*
  • Is the teen diabetic?*
  • Does the teen have asthma?*
  • Is this teen pregnant?*

  • NOTE: If Yes, a medical release signed by the teen's doctor and appropriate state representative must be provided prior to camp.

  • Is the child taking any prescription medications?*
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  • IMPORTANT NOTE: MEDICATIONS MUST BE SENT TO CAMP IN ORIGINAL PRESCRIPTION BOTTLES FROM PRESCRIBING PHYSICIAN. Campers must be accompanied by proper dosages for the duration of the camp.

  • I give the Camp Registered Nurse permission to administer the following over the counter products according to manufacturer’s instructions, or as otherwise specified, if needed. Please check any that you do NOT wish to be administered. The Registered Nurse will use their best judgment as situations arise, and if in doubt, he/she will call for verification.

  • I hereby authorize camp nurse(s) to administer medication at camp.

  • Medical Release: To the best of my knowledge, the above health history is correct and the above named minor has permission to engage in all program activities. The undersigned does hereby authorize Brightmoor Foster Teen Camp, Camp29:11 on behalf of the undersigned, to consent to an X- ray examination, anesthetic, medical , dental or surgical diagnosis or treatment and hospital care for the above minor which is deemed advisable by and to be rendered under the general or special supervision of any physician/surgeon, licensed under the provision of the Medicine Practice Act or any dentist licensed under the Dental Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, at camp or elsewhere. This authorization will remain effective while the above minor is en route to and from or involved in or participating in any camp program, unless revoked in writing by the undersigned and delivered to the Camp Director. During camp, prescription medication will be administered to youth as directed by a physician. Brightmoor Foster Teen Camp will do everything in its power to prevent incorrect medicine from being given. However, Brightmoor Foster Teen Camp, is not liable for incorrect medicine provided to us by the legal guardian, incorrect dosage given, nor is it liable for wrong labeling on medicine bottles. Legal guardians are responsible for checking in the correct medication, bottles and dosages at the time of registration. Please provide the same medication routine the above name teen is familiar with. This is not the time to give a medication vacation to your teen.

     LIABILITY RELEASE: Every precaution will be taken to protect campers and volunteers from harm, however Brightmoor Foster Teen Camp; Camp 29:11 is not liable for injuries/death that youth or volunteer staff may incur while camping or participating in Brightmoor Foster Teen Camp activities. If he/she is injured, I have given medical information and permission to take him/her to the closest medical facility for proper care. All extension activities are included in the liability release. If the teen campers is pregnant: I release Brightmoor Foster Teen Camp, from any liability surrounding any injuries/death to the camper and/or the camper’s unborn child.

  • I give my permission for the above named minor to attend camp and to be treated medically, if needed.

  • Do you require permission from multiple guardians? (Legal Guardian, Foster, Bio, Relative) If yes, complete below contact information for additional guardians*
  • Does alternate guardian #1 have access to email?
  • Does alternate guardian #2 have access to email?
  • Does alternate guardian #3 have access to email?
  • Does alternate guardian #4 have access to email?

  • By signing below, I certify all information in this application is true and correct to the best of my knowledge:

  • THANK YOU!

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