2026 Camper Registration

2026 Camper Registration
Camper Information
Name

First NameLast Name
Student Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email
example@example.com
Male / Female
Which one best describes you?
Grade Recently Completed
Shirt Size
All sizes are adult sizes
Medical Information
Camper Date Of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you have Health Insurance coverage for the camper?
Health Insurance Company
If no insurance, type "none"
Health Insurance Policy Number
If no insurance, type "none"
Does the camper have any allergies?
List all allergies and the type of reaction they cause
Does the camper take any prescription medications?
List all medications to be taken at camp. For each medication, please include the dosage and when it should be taken.
IMPORTANT: ALL medications should be sent in the original container. If the medication is a prescription, it must be in the original container from the pharmacy with camper's name on it.

Medications of any kind are not allowed in cabins with campers. Our camp staff will collect medications at check-in, and we will distribute the medication as needed throughout the week.
Does the camper have any other significant health history (heart condition, diabetes, any injury) or does the camper have any restrictions/medical conditions that the nurse needs to be aware of?
If Yes, please explain
Over the Counter Medications Permitted Please select Yes or No to the following medications your camper may or may not be given at camp. May we give your child...
Tylenol?
Ibuprofen?
Pepto Bismol?
Tums?
Benadryl?
Visine?
Neosporin?
Hydrocortisone Cream?
Zantac?
Emergency Contacts
Primary Contact: In case of emergency, please contact the following person

First NameLast Name
Primary Contact relationship to student?
Primary Contact Home Phone Number?
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Cell Phone Number?
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Work Phone Number?
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Contact: In case of emergency, please contact the following person

First NameLast Name
Secondary Contact relationship to student?
Secondary Contact Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Contact Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Contact Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Waiver and Release
Medical and Indemnity Release

I am the natural parent, or managing conservator of the above-mentioned student, a minor. I hereby give permission for my student to participate in all activities of CAMP DEAF 2026.

I agree to unconditionally and absolutely RELEASE, WAIVE, HOLD HARMLESS, AND DISCHARGE CAMP DEAF, its officers, employees, agents, representatives, successors, assigns, and volunteers from any and all responsibility owed to the student, the parent, or their legal representatives, heirs and assigns from any and all claims, losses, expenses, injuries, demands, actions, judgments, and/or causes of action, while the student is participating in CAMP DEAF 2026. I am aware of the risk associated by or with participation in this camp. I voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death that may result from participation from camp activities. Further, should my student need medical treatment while attending the activities of CAMP DEAF, I grant the authority to CAMP DEAF, its officers, employees, agents, representatives, and volunteers to consent to medical treatment in the event I cannot be contacted. This authorization expressly includes the authority to sign releases on my behalf for medical services and facilities. I promise to assume liability for payment of all such medical services and facility fees and to reimburse CAMP DEAF for any medical expenses that may be incurred on behalf of my student.

Visual Production Consent and Release

CAMP DEAF occasionally creates publicity and/or public relations advertisements (“Visual Productions”) as a part of the work of CAMP DEAF. While CAMP DEAF is under no legal obligation to obtain a release for your child/children to be part of these Visual Productions (nor is CAMP DEAF assuming any legal obligation arising out of this Consent and Release), CAMP DEAF is attempting to affirmatively record your approval for your child/children’s participation in these Visual Productions. As a condition of your child participating in this activity, we require that you sign and return this form to CAMP DEAF with respect to your child/children. The agreement below allows you to express your approval for your child/children’s name, picture, art, written work, voice, verbal statements and/or portrait (video or still) (collectively, “Image/Statement”) to appear in CAMP DEAF Visual Productions. These Visual Productions may or may not personally identify your child/children and their Image/Statement may be used by CAMP DEAF in Visual Productions in subsequent years.

Consent and Release

The undersigned Parent/Guardian releases to CAMP DEAF the Image/Statement of the child/children listed below, and the undersigned consents to CAMP DEAF’s use of the Image/Statement as a part of Visual Productions. The undersigned Parent/Guardian understands and agrees that: No monetary consideration shall be paid by CAMP DEAF for use of the Image/Statement; The undersigned’s consent and release has been given without coercion or duress; The Image/Statement may be used in subsequent years by CAMP DEAF.

This Consent and Release may be rescinded at any time with written notice to Camp Deaf, 6917 Brentwood Stair Rd, Fort Worth, TX 76017.

I acknowledge that I have read and understand this waiver and release and all its terms, and my signature below represents that understanding. I freely relinquish legal rights and I have had the opportunity to obtain any and all counsel if needed. By my signature, I understand and accept this agreement in full. Furthermore, it is understood that a copy of this form is treated as authentic and binding as the original, and my electronic signature of this form is treated as authentic and binding as my physical, original signature.
Parent / Guardian Name

First NameLast Name
Parent / Guardian Signature
Date of Signature

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Medical and Indemnity Release

I am the natural parent, or managing conservator of the above-mentioned student, a minor. I hereby give permission for my student to participate in all activities of CAMP DEAF 2026.

I agree to unconditionally and absolutely RELEASE, WAIVE, HOLD HARMLESS, AND DISCHARGE CAMP DEAF, its officers, employees, agents, representatives, successors, assigns, and volunteers from any and all responsibility owed to the student, the parent, or their legal representatives, heirs and assigns from any and all claims, losses, expenses, injuries, demands, actions, judgments, and/or causes of action, while the student is participating in CAMP DEAF 2026. I am aware of the risk associated by or with participation in this camp. I voluntarily assume full responsibility for any risk of loss, property damage or personal injury, including death that may result from participation from camp activities. Further, should my student need medical treatment while attending the activities of CAMP DEAF, I grant the authority to CAMP DEAF, its officers, employees, agents, representatives, and volunteers to consent to medical treatment in the event I cannot be contacted. This authorization expressly includes the authority to sign releases on my behalf for medical services and facilities. I promise to assume liability for payment of all such medical services and facility fees and to reimburse CAMP DEAF for any medical expenses that may be incurred on behalf of my student.

Visual Production Consent and Release

CAMP DEAF occasionally creates publicity and/or public relations advertisements (“Visual Productions”) as a part of the work of CAMP DEAF. While CAMP DEAF is under no legal obligation to obtain a release for your child/children to be part of these Visual Productions (nor is CAMP DEAF assuming any legal obligation arising out of this Consent and Release), CAMP DEAF is attempting to affirmatively record your approval for your child/children’s participation in these Visual Productions. As a condition of your child participating in this activity, we require that you sign and return this form to CAMP DEAF with respect to your child/children. The agreement below allows you to express your approval for your child/children’s name, picture, art, written work, voice, verbal statements and/or portrait (video or still) (collectively, “Image/Statement”) to appear in CAMP DEAF Visual Productions. These Visual Productions may or may not personally identify your child/children and their Image/Statement may be used by CAMP DEAF in Visual Productions in subsequent years.

Consent and Release

The undersigned Parent/Guardian releases to CAMP DEAF the Image/Statement of the child/children listed below, and the undersigned consents to CAMP DEAF’s use of the Image/Statement as a part of Visual Productions. The undersigned Parent/Guardian understands and agrees that: No monetary consideration shall be paid by CAMP DEAF for use of the Image/Statement; The undersigned’s consent and release has been given without coercion or duress; The Image/Statement may be used in subsequent years by CAMP DEAF.

This Consent and Release may be rescinded at any time with written notice to Camp Deaf, 6917 Brentwood Stair Rd, Fort Worth, TX 76017.

I acknowledge that I have read and understand this waiver and release and all its terms, and my signature below represents that understanding. I freely relinquish legal rights and I have had the opportunity to obtain any and all counsel if needed. By my signature, I understand and accept this agreement in full. Furthermore, it is understood that a copy of this form is treated as authentic and binding as the original, and my electronic signature of this form is treated as authentic and binding as my physical, original signature.
Student Code of Conduct

This section must be completed by both the student and a Parent/Guardian. Please read this section together.
Code of Conduct: Student Signature:
Code of Conduct: Parent/Guardian Signature:
Date of Signature

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Email Address:
example@example.com
Permission to Watch Jesus Film in ASL during camp.
Do you give permission for your child to watch the Jesus Film in ASL during camp.
If yes, please type your full name as your signature. If no, please type "No"
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Registration Payment

Pay in full

$125.00 Quantity

Payment plan

$50 deposit (required) to hold the spot, with the remaining balance paid monthly.

$50.00 Quantity

Paid by scholarship

Coupon code required.

Free Quantity

Enter coupon

Total

Payment Methods

Credit Card

Apple Pay

Google Pay

Should be Empty:

2026 Camper Registration

Camper Information

Medical Information

Over the Counter Medications Permitted Please select Yes or No to the following medications your camper may or may not be given at camp. May we give your child...

Emergency Contacts

Parent/Guardian Waiver and Release

Student Code of Conduct

Registration Payment*

Payment Methods

Registration Payment