2026 Camper Application

  • RFKC Camper Application 2026

    Sponsored by Dawn of Hope LA

  • Camp Dates:

    June 15-19, 2026

     

    Please fill out the following application to the best of your ability.

     

    Please start the application when you have the following items available:

    *Immunization record

    *Child's Medi-Cal number

    *A recent picture of the child available to upload

    If you have any questions or issues completing the application,

    please email us at: DawnofHopeLA@gmail.com

    or call us at (626) 838-2712

     

    We want your child to have the best experience possible at camp and appreciate and value your input.

     

  • Browse Files
    Cancelof
  • How did you hear about our camp?:*

  • Choose One:*

  • Camper Information

  • Gender:*

  • Caregiver and Emergency Contact Information

  •  -
  •  -
  •  -
  •  -
  •  -
  •  -

  • Agency and/or DCFS Information

  • This case is currently managed through:*
  •  -
  •  -
  • This case is currently:*
  • Case closed as of:
     - -

  • Sibling Information

  • Behavior

    To have the most successful experience as possible, we like to learn a little more about this child--positive attributes and current areas of growth. Please provide as accurate of information as possible so we can better understand how to support this child while attending camp.
  • Does the child have any eating behaviors or food issues?:*

  • Rows
  • Does this child have any trouble at night time?:*

  • Please let us know if or how this child may act out sexually:*

  • Medical History

  • Is this child current on vaccines?
  • Does the child have any allergies (e.g. drugs, food, environmental, etc.)?:*
  • Does the child have any of the following medical issues or concerns?:*

  • Has the child had any recent illnesses or medical complications?:*
  • Does the child have any disabilities or limitations?:*
  • Rows
  • Does the child currently take any medications?:*
  • Does the child have any issues taking their medications?:*
  • All medication sent to camp must be sent in the original container with the pharmacy label on it. I understand that it is my responsibility as caregiver to make sure that all instructions are clear and that the necessary dosage is adequately supplied for the duration of camp. I hereby authorize RFKC's volunteer medical professional(s) to administer the above medication while in their care.*
  • Does the child have any dietary restrictions or special dietary needs?:*

  • Permission to Administer Over-the-Counter Medications

  • Rows

  • Consent and Signature

  • This health history is correct so far as I know, and the above named minor has permission to engage in all prescribed program activities, except as noted. The undersigned do hereby authorize the directors of Royal Family KIDS Camp, or such substitute as they may designate, as agent for the undersigned to consent to an X-Ray examination, anesthetic, medical, dental or surgical diagnosis or treatment and hospital care for the above minor which is deemed advisable by and to be rendered under the general or special supervision of any physician and surgeon, licensed under the provision of the Medicine Practice Act or any dentist licensed under the Dental Practice Act, whether such diagnosis or treatment is rendered at the office of said physician or dentist, at a hospital, camp or elsewhere. This authorization will remain effective while the above minor is enroute to and from or involved or participating in any camp program, unless revoked in writing by the undersigned and delivered to the Director of Royal Family KIDS Camp as legal guardian/social worker/other. I give my permission for {campersFull} to attend Royal Family KIDS Camp June 16-20, 2025 through Dawn of Hope LA.

  • Should be Empty: