Clone of 2025 Camper Registration Form

Camper Registration Form 2026
Camper Information
Camper's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Birth Date*

MonthDayYear
Gender*
Grade This Fall*
Specify Camp*
Adult Leader/Sponsor*
Church Name*
Transportation Plans (Mark 2 boxes)*

Will need transportation from Church to Camp.Will return with group from Camp to Church.Parent/Guardian will transport camper to Camp.Parent/Guardian will pick up camper from Camp.

Emergency Contact Information
Primary Emergency Contact Name*

First NameLast Name
Relationship to Camper?*
Primary Emergency Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Emergency Contact Name

First NameLast Name
Secondary Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper?

Media Release:
Individual and group photos taken at camp may be used in any or all forms of media for advertising. The names of the campers will not be used if photos are placed on our website or other social media websites. By signing below I give permission for Camp Christian and participating churches to take /use photos of my child for advertising and media purposes. Leave blank if no such permission is given.
Signature

Camper Registration Form 2026