Camper Application 2026 - RFKC Knoxville

Camper Application Royal Family KIDS Camp - Knoxville

Camp Dates: Monday, July 13 to Friday, July 17
Royal Family KIDS Camp is a program of For The Children, sponsored by Royal Family Kids Knoxville and Shoreline Church

Drop Off/Pick Up Location: Shoreline Church | 9635 Westland Dr. Knoxville, TN 37922

Contact: info@royalfamilykidsknoxville.org

About the Child: This form should be completed by the caseworker/social worker and/or the foster parent(s) or legal guadians.

Instructions: This form must be completely filled out. The information is vital to the health and well-being of the child. Your application will not be accepted if it is not completely filled in.

Search Policy: For the success and safety of all camp attendees, it may be necessary to search a child’s bags or property to assure they have everything they need for a successful week (i.e. clothing, swimsuit, toiletries, etc.) and a safe week (i.e. no candy, electronics, tobacco products, or other inappropriate items.) Any illegal items will be turned over to proper authorities be that the guardian, social worker or law enforcement and the guardian will be informed. Any other items removed will be returned directly to the legal guardian at registration, if possible, or at the end of the camp.

Acceptance: We will notify you in May or early June if your child is selected to attend camp. There will be a $25 refundable registration fee to reserve their spot. The registration fee will be returned to you upon the drop-off on Monday, July 13.
Child's Full Legal First and Last Name*

First NameMiddle NameLast Name
Child's Preferred Name or Nickname (if different)
Child's Sex*

MaleFemale
Child's Birthdate*

MonthDayYear
Date
Child's Age on July 13, 2026
Child's Current Emotional Age*
Address Where Child Currently Resides*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Attending in 2026-2027 School Year*
Grade Entering in the 2026-2027 School Year*
Reading Grade Level*
Child's T-Shirt Size*

Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult Large
Child's Shoe Size*
Please upload a photo of your child.*

Cancelof
How did you hear about this opportunity to send your child to camp?*
Choose all that apply:*

This is Camper's first time at Royal Family KIDS CampCamper has been to RFK Camp Knoxville beforeCamper has siblings coming to RFK Camp KnoxvilleCamper has been to another RFK Camp but not Knoxville's
The child is living with (check one)*

Foster ParentGroup HomeRelativeAdopted Parent(s)Other
Name(s) and Relationship(s) of person(s) living with child: Please list all household members and how they are related to this child.*
How long has the child been in the care of their present placement? *
Main Contact Person Full Name & Relationship to Child*
Main Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Main Contact Email*
example@example.com
Emergency Contact Person Name and Relationship to Child*
Emergency Contact Phone Number*
Social Worker/Case Worker Full Name*
Social Worker/Case Worker Phone Number*
Social Worker/Case Worker Email*
Person(s) Authorized to Pick-Up Child. Please provide full name(s) and phone number(s)
CAMPER HISTORY
Number of known placements for foster child (including current placement):*
Does the child currently visit with biological parent(s)?

YesNoUnknown
If the child is currently in foster care, what level are they considered?*

Level 1Level 2Level 3+
Why would this child benefit from attending Royal Family KIDS Camp? Please explain any unusual family circumstances that make camp especially important for the child:(For example: recent crisis, being moved in foster placement, severe economic needs, etc.)*

Child's Emotional/Behavioral History

Rows	Often	Sometimes	Not at all
Aggressiveness
Bedwetting
Biting
Eating Disorders
Hyperactive
Learning Disabilities
Frequently Lies or exaggerates reality (dramatic)
Night Terrors, Nightmares, Frequently awakes in the night
Is afraid of the dark
Runs Away
Sexually Acting Out
Steals
Tantrums or physical outbursts
Withdraws or gets quiet when upset
Acts much more mature than their age
Acts much more immature than their age
Audio (hearing) sensory issues
Tactile (touch) sensory issues
Likes to spin, jump or be constantly moving
Wiggles or fidgets when trying to sit still
Has difficulty following directions
Has emotional or physical outbursts when upset
Hides or hoards food or other items
Difficulty swallowing or chokes frequently
Clumsy, falls or crashes into things often
Needs to fidget or draw while listening
Chews or bites nails excessively
Speech Delays

Please provide details from above or note other concerns that camp staff should be aware of. More information helps us best support a positive camp experience.*
Has the camper been a victim of sexual abuse?*

YesNoUnknown
Has the camper been the victim of physical abuse?*

YesNoUnknown
CAMPER DETAILS
The child's swimming ability is:*

GoodPoorDo not know
Does the child have any learning disabilities?*

YesNoMaybe
Please tell us a little about your camper. (This helps us encourage enjoyable and confident participation in activities at camp).*

Likes to swimLikes to draw or is artistic and creativeLikes musicLikes sportsLikes animalsLikes to fish or wants to tryMakes friends easilyNeeds help making friendsLikes to try new thingsNeeds help trying new thingsIs very active and energeticIs less active and prefers to do things that are more quiet and reservedLikes to build things (legos, wood projects)Likes to readHas a funny sense of humorIs very helpful and likes to help othersIs neat and tidyIs more sloppy/messy - has a hard time keeping track of things or loses things easilyIs a great eater (different than unhealthy overeating)Is a picky eaterPrefers smaller groups and 1:1 activitiesLikes big groups, noise and activityCan shower and bathe without assistanceNeeds some assistance bathing, washing hair, etc. (Note: The child is never alone at camp with another child or adult. We have alternative methods of helping the child shower/bathe with supervised assistance to meet their needs)
Other characteristics unique to this child you'd like us to know:
HEALTH HISTORY
Does the child have any allergies? If so, please provide all known allergies.*
Does the child need to have close access to an Epi pen?
Disabilities/Limitations*
Illnesses/Medical Complications*
Does the child require any specialized medical equipment (such as leg braces or hearing aids)?*
Has the child had any serious illnesses, injuries, or medical operations in the last three years? If yes, please list them.*
Any specific activities to be restricted?*
Any specific activities to be encouraged?*
Are all immunizations current for the camper?

YesNoUnknown
Any comments or details regarding immunizations?
PRESCRIPTION MEDICATIONS

Please complete this section in full. The information provided here will be used during camper drop-off to ensure a smooth and efficient check-in process.
Is your child taking any medications?*

YesNo
If yes, please list all medications. Be sure to include the name, dosage and times for the medication as well as what the medication is for. This section is important so please be as detailed as possible and provide all requested information.
Prescribing Doctor's Name*
Doctor's Phone Number
Please provide any other comments related to HEALTH, MEDICATIONS or MEDICAL CONDITIONS we need to know about the camper:

Please check YES or NO for the medications listed below. Please select "Specific Brand/Type Required" if applicable. This form must be completely filled out by the primary caregiver who signs below or camper may not attend camp.

Rows	Yes	No	Specific Brand/Type Required
Sunblock
Insect Repellant
Lip Balm
Rash Ointment
Tylenol
Antiseptic Ointment
Band-aids
Anti-itch cream
Hydrogen Peroxide
Cough Syrup
Cough Drops
Decongestant
Antihistamine

Please provide any desired specifics or additional over-the-counter medication
Medical Authorization and Release:

Must be signed by Case Worker/Social Worker, Foster Parent, or Legal Guardian
Print Your Name (Legal Guardian, Foster Parent, Caseworker or Social Worker of child)

First NameLast Name
Signature
Thank you for taking the time to complete this application!

We will be in touch, and you will be notified by May or early June regarding whether we are able to accommodate your child. There will be a $25 refundable registration fee to reserve their spot. The registration fee will be returned to you upon the drop-off on Monday, July 13. If you have any questions, please contact us at info@royalfamilykidsknoxville.org.
Should be Empty:

Camper Application Royal Family KIDS Camp - Knoxville

CAMPER HISTORY

CAMPER DETAILS

HEALTH HISTORY

PRESCRIPTION MEDICATIONS

Medical Authorization and Release:

Thank you for taking the time to complete this application!