2026 Camp Wilderness Summer Camp Registration Form
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    This Form is Currently Unavailable Registration will Open on

    March 1st, 2026 @ 12AM

  • Camp Wilderness - Summer Youth Camps

    Iberia, Missouri

  • Participant Reservation

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  • Camper Information

  • Emergency Contacts

    In the event of an emergency, we will contact the persons on this list in numerical order. All emergency contacts will also be on the authorized pick up.

  • Authorized Pick-Up

    For safety and security, minors will only be released to individuals listed as Emergency Contacts or authorized in advance below:

  • Church Information

  • Volunteer Information

  • We understand that there are times and circumstances in which a family may be volunteering and also have children who are not eligible to attend the session (ages 6 and younger). We will work with families to make accomdations that aid in your ability to volunteer. Under age children are the responsibility of the volunteer parent/guardian with which they attend. They will be included in meals and may participate in some specified activities. Any dietary and medical needs will be the sole responsibility of the volunteer parent/guardian with which they attend. 

  • Emergency Contacts

    In the event of an emergency, we will contact the persons on this list in numerical order.

  • Church Information

  • Transportation Information

    Some activities require transportation to sites outside of Camp Wilderness. Though it is not a requirement, it may be necessary for volunteers to assist with transportation. No individual is required to drive nor guaranteed a driving position. All drivers must have all required information provided prior to the transportation need.

  • Drivers will be required to submit their driver's license and proof of personal vehicle insurance to Camp Wilderness staff during session check-in. A copy of each will be required. 

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  • Eligible drivers of personal vehicles have the option to be reimbursed for mileage. Mileage is calculated as the total number of miles round-trip, between Camp Wilderness and the destination. Currently we offer $0.25 (25 cents) per mile reimbursement. Driver reimbursement forms must be completed before the end of the session in which they assisted in driving. Drivers can elect to receive reimbursement on a voluntary basis.

  • Volunteer Preferences

  • Diet, Activity & Behavior

  • The following questions refer to skills that a camper must be able to perform on their own during their stay at camp. If your child cannot perform any skills below on their own, please work with them on these skills leading up to their camp session.

  • Health Information

  • All medication must be brought in ORIGINAL CONTAINER or you will not be allowed to leave the medication at the camp.  No exceptions.  All prescriptions must be in the name of the participant and in the correct dosage.  For the safety of all our participants, medications must be checked in with medical staff during arrival and may not remain in participant's possession.

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  • Camper Authorizations

  • Instructions: This section is to be completed by minor's parent or guardian who is age 18 and older. For each set of statements below, please type your first and last name into the field below it. This will serve as electronic verification of understanding of the statement. 

  • Medical information

    All information provided for this child is correct and complete to the best of my knowledge and I am authorized to provide this information. The person herein described has permission to engage in all camp activities except as noted. I hereby give my permission to the camp to provide routine health care, administer prescribed medications, and seek emergency medical treatment including ordering x-rays or routine tests. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes. I give permission to the camp to arrange necessary related transportation for my child. In the event I cannot be reached in an emergency, I hereby give permission to the physician to secure and administer treatment, including hospitalization, for this child.

     

  • I, *, accept the above statements for my child concerning their medical information, needs and care.

  • Lice Policy

    For a safe and enjoyable camp experience for all of our participants (campers, staff and volunteers), Camp Wilderness requires that all individuals be head lice free according to the NPA’s No-Nit Policy. During registration, participants will be checked for head lice. If evidence of lice is found, participants will not be able to register or participate in the program and will be sent home. By signing below, you agree to this policy and agree to check the head and belongings of any participants under your care, prior to their arrival at Camp Wilderness. For more information on lice, treatment and removal, visit http://www.headlice.org.

  • I, *, accept the above statements concerning the lice policy of Camp Wilderness and my obligations prior to the camp session start date and time.

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    Permission to Use Photos

    By signing below, you give the youth programs staff and Camp Wilderness permission to use pictures, in which yourself or your children may appear, in places such as brochures, flyers or other promotional literature, both electronic and published. This would include online sources such as, but not limited to, our related websites and social media pages. Presence on the grounds also indicates acceptance for any and all persons within your family during your time at Camp Wilderness before, during and after camp sessions.

  • I, *, accept the above statements regarding the use of my family's presence in photos taken by the camp and camp staff.

  • Volunteer Authorizations

  • Instructions: This section is to be completed by minor's parent or guardian who is age 18 and older. For the set of statements below, please type your first and last name into the field below it. This will serve as electronic verification of understanding and agreement of the statement on behalf of your child.

  • Instructions: This section is to be completed by the participant committing to volunteer. For each set of statements below, please type your first and last name into the field below it. This will serve as electronic verification of understanding and agreement of the statement.

  • Medical Information

    All information provided is correct and complete to the best of my knowledge and I am authorized to provide this information. The person herein described has permission to engage in all camp activities except as noted. I hereby give my permission to the camp to provide routine health care, administer prescribed medications, and seek emergency medical treatment including ordering x-rays or routine tests. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes. I give permission to the camp to arrange necessary related transportation for myself. In the event I cannot be reached in an emergency, I hereby give permission to the physician to secure and administer treatment, including hospitalization, for myself.

  • I, *, accept the above statements concerning my medical information, needs and care.

  •  Lice Policy

    For a safe and enjoyable camp experience for all of our participants (campers, staff and volunteers), Camp Wilderness requires that all individuals be head lice free according to the NPA’s No-Nit Policy. During registration, participants will be checked for head lice. If evidence of lice is found, participants will not be able to register or participate in the program and will be sent home. By signing below, you agree to this policy and agree to check the head and belongings of any participants under your care, prior to their arrival at Camp Wilderness. For more information on lice, treatment and removal, visit http://www.headlice.org.

  • I, *, accept the above statements concerning the lice policy of Camp Wilderness and my obligations prior to the camp session start date and time.

  • Permission to Use Photos

    By signing below, you give the youth programs staff and Camp Wilderness permission to use pictures, in which yourself or your children may appear, in places such as brochures, flyers or other promotional literature, both electronic and published. This would include online sources such as, but not limited to, our related websites and Facebook pages. Presence on the grounds also indicates acceptance for any and all persons within your family during your time at Camp Wilderness before, during and after camp sessions.

  • I, *, accept the above statements regarding the use of my and family's presence in photos taken by the camp and camp staff.

  • Christian Youth Program Values

    I understand that as a volunteer of a Christian based ministry program, there are rules and policies that I will be expected to abide by. I accept that volunteers such as myself shall exhibit Christian values and follow the direction of the leaders and staff of the youth camps and programs. I agree to uphold Christian values and do my best to assist with creating and maintaining a safe, healthy and positive Christian camp environment for all participants. As a volunteer, I understand, both for my safety and the safety of others that I am not to be alone with a camper at any time during the duration of the session(s) in which I am attending. I understand that if I have any questions, I may contact a camp director, certified leader or Camps & Programs representative and/or find more information online at https://campwilderness4u.org

  • I, , accept the above statements concerning being a volunteer during the camp and programs I am committing to.

  • I, , accept the above statements on behalf of my child concerning their being a volunteer during the camp and programs they are committing to.

  • Email Confirmation

  • Payment Information

    Please only pay for the camper sessions you have selected for this submission form. If you would like to pay at the time of the camp session, you may select the Pay Later option. No payments are due until the start of the session attending during check-in. If choosing to pay later, you do not need to select a payment method. Coupon EARLYBIRD for $20 off registrations submitted before June 1st, 2026.
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            Payment Methods

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            After submitting the form, you will be redirected to Apple Pay to complete the payment.
            After submitting the form, you will be redirected to Google Pay to complete the payment.
            After submitting the form, you will be redirected to Cash App Pay to complete the payment.

          • Payment Methods above can be left blank if choosing Volunteer or Pay Later. Payments not due until start of session during check-in. If registering before June 1st don't forget the coupon EARLYBIRD for $20 off each registration if paying now. 

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