2026 2nd & 3rd Grade WCCSC Registration Form
  • 2026 Camper Registration

    2026 Camper Registration

  • Camper Information

    Campers should register for the grade they will be entering in the fall.
  • Gender*
  • Date of Birth*
     - -

  • All campers in grades K-10th will only be released to an adult from this Authorized Pick Up List. Adults must present photo identification and sign the camper out.

    Absolutely, no camper under 11th grade shall be released to any adult not listed on their authorized pickup list. This includes ministry staff.      


    Authorized Person #1            
    Authorized Person #2              
    Authorized Person #3         

  • Parent / Guardian Information

    When and where appropriate, please type "N/A" (not applicable) in the appropriate box and use zeros for that phone number. Thank you!
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Medical Information

    The Medical Record must be filled out and signed by a parent/guardian for a camper to attend camp!
  • Format: (000) 000-0000.
  • If your child requires minor first aid (topical analgesics, band aid, ace wrap, ice pack, etc.), or requests a typical over-the-counter medication (Tylenol, Benadryl, Ibuprofen, etc.) Does the Camp Medic have permission to provide that to them?

  • Camper Medication Form

    This section is required if your child will require medication while they are at camp

  • Medication
    Name of Medication:      
    Dosage (as listed on the prescription):      
    Description of Medication:   
    Instructions for Administration:      
    Time of Administration:                
          

  • Medication
    Name of Medication:      
    Dosage (as listed on the prescription):      
    Description of Medication:   
    Instructions for Administration:      
    Time of Administration:                
          

  • Medication
    Name of Medication:      
    Dosage (as listed on the prescription):      
    Description of Medication:   
    Instructions for Administration:      
    Time of Administration:                
          

  • Medication
    Name of Medication:      
    Dosage (as listed on the prescription):      
    Description of Medication:   
    Instructions for Administration:      
    Time of Administration:                
          

  • Medication
    Name of Medication:      
    Dosage (as listed on the prescription):      
    Description of Medication:   
    Instructions for Administration:      
    Time of Administration:                
          

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  • Emergency Contacts

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Acknowledgements & Signature

  • WCCSC Rules

    1] The Dean of each week is responsible for, and has authority over, everything during his week. Only the Camp Managers or a Board quorum can override his decisions. The dean has the authority to dismiss any faculty member or camper for violation of camp policy. 2] Every person is required to conform to the daily camp schedule. 3] Tobacco, alcohol, illegal drugs, vaping, or crude, obscene language is forbidden. 4] No one is allowed to leave the camp grounds without the permission of the dean. Campers must have a permission slip signed by their parent or guardian to leave the grounds. No field trips off camp grounds are allowed except to visit Show Me Christian Youth Home next door. 5] Sickness and injury should be reported to the camp medic immediately. 6] Males & females are forbidden to enter each other’s dorms and designated areas at any time. No one is allowed out of the dorms after lights out without permission from the dean. 7] Campers are not allowed to bring fans, fireworks, weapons, any entertainment electronics (CD players, games, etc) cell phones, bikes or skate boards. These items will be confiscated and returned at the end of the week. Music amps are only allowed in the chapel building. 8] Modest dress is required by all attending camp. Two-piece bathing suits showing a bare midriff are not allowed, nor are short-shorts (shorts must extend to the length of the wearer's fingertips), tube tops, spaghetti straps, clothing showing bare midriff, clothing displaying immoral slogans, pix, etc. Males are to wear shirts at all times except when swimming. Any faculty has the authority to ask campers to change into more appropriate clothing. 9] Visitors hours are from 5:00 pm 9:00 pm. Gates are locked for the night around 9:30 pm. Exceptions can be made for parents and special activities such as baptisms. All visitors are required to abide by all camp rules and schedules. They must sign in at the dining hall immediately upon arrival and receive a “visitor pass” to be worn at all times while on the grounds. 10] All camper’s automobiles will be parked in designated areas and keys turned into the camp office for the duration of the week. 11] Everyone is required to follow the pool rules and the Life Guard on duty has authority over all campers & faculty during swim times. 12] No food, gum, or bottled water is to be brought to camp by campers. No food or drink, except bottled water, is allowed in the dorms!! 13] Campers may be held financially responsible for any vandalism or damage to camp property. 14] WCCSC reserves the right to refuse admission to anyone, and reserves the right to expel any faculty or camper found to be living a lifestyle, or promoting any lifestyle, that the Directors of WCCSC believes to be in conflict with New Testament teaching on Christian behavior or doctrine. Bigotry and bullying are not acceptable as Christian behavior and will be disciplined accordingly.
  • Date if Signature:*
     - -
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    2nd - 3rd - 2026 Registration Product Image
    2nd - 3rd - 2026 Registration

    July 23rd - 24th 

    $70.00
      
    T-Shirt Store Product Image
    T-Shirt Store

    2025 Camp T-Shirt

    $12.00
      
    Canteen Product Image
    Canteen

    Campers can choose 1 drink and 1 snack item per canteen.   If you would like to purchase your camper's canteen with your registration, please choose the correct week for your registration. Canteen money may also be added upon arrival. 

    $ Free
    Item subtotal:$0.00
      
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    $0.00

    Payment Methods

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