2026 Camp ChiMer Updates

Deadline to Register: June 1, 2026

What's different this year at Camp ChiMer?

• Camp ChiMer 2026, 7/31-8/2, will be returning to an overnight summer camp experience this year! Campers will check-in with their guardians at 12:45PM CST Friday August 1st and be picked up by 3:00PM CST Sunday August 3rd.

• Dialysis care will be provided for campers needing peritoneal dialysis
• For assistance or questions please contact:

Ra'Deja Johnson, Program Manager
Email: campdirector@kidney.org 
Phone: 913.262.1551 (available regular business hours)

To save your form progress and return later, scroll to the bottom of the page and click "Save".  Follow the steps for creating an account.

PLEASE NOTE: Due to the HIPAA compliance on this form, we are UNABLE to see anything on saved forms that have not been submitted.

Emergency Contact #1

Additional contact in event parent(s)/guardian(s) cannot be reached

Emergency Contact #2

Additional contact in event parent(s)/guardian(s) cannot be reached

I understand only legal guardians and emergency contacts listed in this form are allowed to pick up my camper from camp. I understand that all authorized parties MUST bring a valid photo I.D. at pick-up to confirm their identity.

Camper Self Check-Out

(PLEASE NOTE: Per NKF policy, this option is only available to campers 18 years of age and older at the start of camp)

Health & Safety Policies

This section outlines the health & safety requirements for all campers, staff, and volunteers attending Camp ChiMer 2026.

Prescreening

All NKF Staff, Children's Mercy Medical Staff, volunteers, and campers must conduct a self-prescreening prior to leaving for Three Trails Camp & Retreat Center. If any two symptoms are present, do not attend camp.

Prescreening Checklist:

• Temperature of 100.4 degrees Fahrenheit or higher
• Sore throat
• Cough (for campers with chronic cough due to allergies or asthma, a change in their cough from baseline, must be documented by a medical professional)
• Difficulty breathing (for campers with asthma, a change from their baseline breathing, must be documented by a medical professional)
• Diarrhea or vomiting
• New loss of taste or smell
• New onset of severe headache, especially with a fever

Education & Cleaning

• All NKF Staff, Children's Mercy medical staff, volunteers, and campers will be instructed on COVID-19 protocols before arrival and during orientation.
• All common spaces will be cleaned once a day, paying special attention to high touch areas (doorknobs, handles, railings, light switches, toilets, faucets, and sinks Spaces and tables used for meals will be cleaned after every meal.

Parent/Guardian Signature Required

Allergies

List below any allergies (medicines, food, latex, seasonal). You can select the "Add Additional" button to add more than one allergy below.

Medications

Please enter all your camper's medications. Campers must bring all the medications they will need during the camp session. All medications must be in their original bottles.

MEDICATION ACKNOWLEDGEMENT

I understand that ALL MEDICATIONS must be brought to camp in their ORIGINAL CONTAINERS.

Diet & Activity

Activity Level

Medical Needs

Ostomy Information

Daytime Urine Catheters

While a physical examination is not required, it is anticipated that ALL participants are in good health or under the care of a physician. We need to have the name of your physician on file, to contact in case of emergency.

Insurance/Medicaid Card

Contact Information for Dialysis or Transplant Center

Upload Medical Form

You downloaded the appropriate form for your camper in the "Camper Questions" section of registration. Upload the completed form below.

You can access the 2026 Camp ChiMer Medical Forms here:

👉 https://nkf.egnyte.com/fl/bgcE0LF0ok

Camp Dates & Times:
Friday 7/31/26 1:00PM CST - Sunday 8/02/26 3:00PM CST

Camper Check-in
12:45PM-1:00PM Friday 7/31/26

Any late arrivals or absences should be communicated to Camp Manager in advance if at all possible.

Camper Pick-Up
2:45PM-3:00PM Sunday 8/02/26

Prior to camp you will be emailed a Camper Guide for your reference, and to help with getting ready for camp! The Camper Guide will provide information about what to expect at camp, what to bring, camp policies & guidelines, reminders, logistics, and more!

Camper Consent Form

I, the legal guardian, authorize the Medical Director of Camp Chimer and/or any other healthcare providers (nurses, other physicians, etc as may be designated by the National Kidney Foundation to provide all necessary medical care for my child during Camp ChiMer 2026 at The Salvation Army Three Trails Camp and Retreat Center, Kansas City, MO, July 31st - August 2nd, 2026. I understand the medical care, which can be provided at the camp, is limited to the supervision and administration of medications, care of dialysis related dressings, tube feed administration, and emergency first aid/basic life support and that my child may need to be transported to a hospital if an emergency arises. I will be notified as soon as possible in case of any emergency affecting my child. I authorize the calling of emergency transport and assistance to provide whatever medical or emergency treatment is necessary. I will be responsible for any cost beyond what insurance pays associated with any medical care provided to my child.

My child will be responsible for his/her own personal property. I will hold harmless The Children's Mercy Hospital, National Kidney Foundation and its officers, trustees, directors, volunteers, employees, Central Governing Board, Three Trails Camp and Retreat, and the directors and staff of Camp ChiMer for the loss of personal property by fire, theft, negligence or misconduct.

I understand the Camp Director and/or the medical team reserves the right to dismiss any camper, including my child, whose conduct is disruptive to the camp.

I waive any claims against The Children's Mercy Hospital and National Kidney Foundation, their officers, trustees, directors, volunteer employees, Central Governing board, and the directors, staff and volunteers of Camp ChiMer and Three Trails Camp and Retreat for negligence or willful misconduct by the released parties, and/or the collectively, ("the released parties") of Camp ChiMer.

I do hereby assign to National Kidney Foundation, Camp ChiMer, and Camps For Kids and forever release the rights to photos, films, videotapes, or other visual images created by or taken of my child during the camp session July 31st - August 2nd, 2026. I understand that the intended use of the visual images is for use in media presentations, marketing publication, informational brochures, or other publications to benefit the National Kidney Foundation and Camp ChiMer. I understand that the visual images become the sole property of the National Kidney Foundation and Camp ChiMer. I understand visual images may be published on websites including social media sites such as Facebook, or other similar social networking sites. I understand that I will have no claim to future compensation, benefits, rights, or royalties. I do hereby release and authorize the use of personal information, such as name, age, city, state, and treatment modality, in connection with the use of the visual images. I do release and hold harmless The Children's Mercy Hospital and National Kidney Foundation and Camp ChiMer from any claim, lawsuit or action based on the use or publication of the visual images authorized in this "Camper Consent" form.

Consent for Interactions with Dogs

I understand and agree to the following:

• Children's Mercy Hospital offers a Facility Dog Program and a Pet Pals program with dogs ("Trained Dogs") that have been trained and certified to interact with patients in a hospital setting under the handling and control of trained staff or volunteers.

• Children or adults that are allergic to dogs are not permitted to interact with the Trained Dogs.

• Children or adults that exhibit fear in normal interactions with dogs are not permitted to interact with the Trained Dogs unless special arrangements are made for interaction to occur under the direct supervision of an appropriately trained mental health professional.

• Activities involving direct contact with the Trained Dogs will be deemed appropriate by hospital staff before being offered to a patient.

• Interaction with the Trained Dogs may not be available.

I consent to activities that involve interaction with a Trained Dog. Interactions with a Trained Dog may include petting, brushing, learning about the Trained Dog, taking photos with the Trained Dog, and similar activities.

I have read and agreed to the foregoing. I acknowledge that my/my child's interactions with a Trained Dog have been adequately explained to me and my questions have been answered and that my signature authorizes my/my child's interaction with a Trained Dog if hospital staff have approved such interaction and a Trained Dog is available for such interaction. I understand that this consent is valid for one (1) year from the date signed or until I revoke it. I understand I can revoke any consent at any time in writing.

Camp ChiMer Camper Code of Conduct

At Camp ChiMer, we are dedicated to providing a safe, healthy, and fun camp experience for everyone. We are asking all campers and legal guardians to read and sign the following Camper Code of Conduct to acknowledge expectations for words, actions, and behavior while at camp.

While at Camp ChiMer I will:

1. Remain with within Camp ChiMer boundaries and with my assigned camp cohort at all times.
2. Participate in all camp activities to the best of my ability.
3. Follow camp rules and listen with my full attention when staff and volunteers are giving directions.
4. Follow camp policy regarding technology and cell phones.
5. Respect the rights and beliefs of others and treat others with courtesy and consideration.
6. Respect the physical and emotional boundaries of others. I understand that excessive horseplay, inappropriate touching, fighting, pushing, unwelcome teasing, bullying, or any unkind behavior is not allowed and will not be tolerated.
7. Communicate in an appropriate manner and will not use foul language, gestures, or harsh words. I will not raise my voice or use verbal threats of any kind.
8. Respect the property of others. I will not steal, damage, or vandalize the belongings of others or any property of Camp ChiMer and Three Trails Retreat Center.
9. Never bring or use tobacco, marijuana products, illegal drugs, or weapons before, during, or after camp and while on campgrounds. I understand that Camp ChiMer staff will be allowed to confiscate these items if I have them at camp.
10. Be fully responsible for my actions and understand that violating this code of conduct may result in disciplinary action or dismissal from camp.
11. Tell a staff member if I see or hear anything that makes me or others feel unsafe. I will report any violations of this Code of Conduct that cause harm to others or to property. (Reporting is confidential)

I have read and agree to meet these expectations.

I discussed these expectations with my camper and agree that they will adhere to them. Parent/Guardian Signature Required