2026 Camper Registration

2026 SLC Royal Family KIDS Camper Application
CAMP DATES ARE JULY 13TH - 17TH 2026

This form requests detailed information about the child's medical information, emotional/behavioral disorders, family history, questions for the safety and security of your child, and specific child characteristics, such as favorite color or likes/dislikes, all so that we can better help your child have a fun-filled week.

All information is confidential. This information also helps us place your child with the most appropriate counselor/mentor for the week. A small head photo of your child (.jpg or similar) is required to be uploaded on the application.

Please fill out ONE APPLICATION FOR EACH CHILD.

Foster children ages, 7-11, are eligible to attend Camp. Children who have been adopted are allowed to attend camp, however children who have not been adopted and/or are returning campers are first priority for acceptance to camp. Children in any Utah kinship placement programs are also eligible to attend Camp.

This application does not guarantee your child a spot at camp. You will be notified if your child has been accepted to Camp no later than June.

If you have any questions please email rfk@themountain.church or call our Child Placement Coordinator, Maddy Hobbs, at 801-857-7869 or Camp Director, Kenra Keddington at 801-699-4874

Name of person filling out application:*

First NameLast Name
Relationship of person doing app for child:*
Phone Number of person doing app*
Format: (000) 000-0000.
Email of person doing app*
example@example.com
Parent/Guardian Information
Parent/Legal Guardian, same as person doing app
Parent/Legal Guardian Name:*

First NameLast Name
Relationship of parent/legal guardian to child:*
Phone Number of parent/legal guardian*
Format: (000) 000-0000.
Email of parent/legal guardian*
example@example.com
Address of legal Guardian:*

Street Address

Street Address Line 2

CityState

Zip Code
What date was the child placed in their current home: *
How many foster or residential placements has the child had, including current home:*
Emergency Contact, same as person doing app
Emergency Contact*

First NameLast Name
Emergency Contact Phone #*
Format: (000) 000-0000.
Emergency Contact email*
example@example.com
Authorized adult to pick child up at Mountain View Christian Assembly of God - 8000 S 300 E Sandy, Utah

Pick up time is 1:00pm Friday, July 13th 2025
Authorized adults picking the child up will need to show photo Government ID**
Caseworker/Child Placement Agency Information
Childs placement/caseworker agency name:
Childs placement/caseworker name:

First NameLast Name
Childs placement/caseworker phone #
Format: (000) 000-0000.
Child placements/caseworker email
example@example.com
CASA (Court Appointed Special Advocate) name, if the child has one

First NameLast Name
CASA Phone #
Format: (000) 000-0000.

What specific activities should we ENCOURAGE your child to do while at camp?*
What specific activities should be DISCOURAGED while at camp?*
Please tell us what this child's interests, passions, loves, are so our Staff can make camp even more special. What are their strengths, positive traits, and characteristics (i.e. Loves sports, crafts, favorite food, favorite color, favorite animals...whatever!)*
How did you hear about Royal Family KIDS Camp
Stay Connected through our Mentoring Club

Mentoring Club is designed for any child that has attended Royal Family KIDS Camp
Throughout the school year campers and their mentors attend a once a month mentoring club meeting. Mentoring club is a place where a camper can reconnect with many of the participating staff members from camp as well as build lasting friendships with the other mentoring club kids. Club KIDS enjoy the same songs, games, and friends they met at camp, which reinforces stability and character strength in their lives. Are you interested in finding out how this child can be part of the Mentors Program throughout the 2024-2025 school year?*

Yes - Please register the child for mentoring.Maybe - Please send me more information!No, thank you
Authorized Signature: I have read the above "Permission to travel, waiver and release of liability" in the Terms & Conditions and by signing below I agree. It is my intention to exempt and relieve Mountain View Christian Assembly of God, For The Children, and Royal Family Kids Camp from all and any liability. Sign by using your mouse pad or touch screen.*

Clear
Should be Empty:

Rows	Yes	No
Acetaminophen (Tylenol) 325mg tabs
Acetaminophen Liquid (Tylenol) 160mg/5ml
Ibuprofen (Advil) 200mg tabs
Ibuprofen Liquid (Advil) 100mg/5ml
Diphenhydramine (Benadryl) 25mg tabs
Diphenhydramine Liquid (Benadryl) 12.5mg/5ml
Dextromethorphan (Delsym) 15mg/5ml
Calcium carbonate chewable (TUMS)
Cough Drops (generic)
Phenol spray (Chloraseptic spray)]
Triple antibiotic ointment (neosporin)
Hydrocortisone cream 1%
Hydrogen Peroxide OTC
Solarcaine topical
Immodium (anti diarrhea)
Pepto Bismal liquid and chewables (anti nausea)
Calamine or Caladryl Lotion
Lice treatment/shampoo
Bactine (first aid/antiseptic/pain reliever)
Sunblock/Sunscreen
Lip Balm
Melatonin

2026 SLC Royal Family KIDS Camper Application

Parent/Guardian Information

Authorized adult to pick child up at Mountain View Christian Assembly of God - 8000 S 300 E Sandy, Utah

Caseworker/Child Placement Agency Information

Background/Behavior Information

Medical History + Medication Information

Stay Connected through our Mentoring Club