Clone of Summer Camp 2026 Camper Registration Form

  • Living River Day Camp at Baytreat Registration, July 6-10

    Registration deadline is June 4th. Pressing your browser's "back" button will reload the form, so use only the "back" and "next" buttons at the bottom of the form pages. Once you click "submit," you cannot go back to edit your submission, but the "save" option is great if you need to pause while filling out the form. A copy of your submission should be emailed to you once you submit your camper(s) registration. Please contact Living River staff at office@livingriver.org if you have any questions about the registration process. Thank you, and we're looking forward to Living River Day Camp at Baytreat!
    • Camper/Camper One's Personal Information 
    • Camper's Gender*

    • Camper/Camper One's Medical Information

    • Does the camper have any allergies?*
    • Does the camper have any dietary restrictions?*
    • Does the camper have any chronic illness or conditions?*
    • Does the camper have any prescribed medication, an inhaler, or an epinephrine injection device (EpiPen)?*
    • Is your camper up to date on the immunizations required for public school?*

    • Camper/Camper One's Family Information

    • Camper/Camper One's Parent/Guardian Information

    •  -

    • Camper/Camper One's Emergency Contact Information

      Please list an emergency contact for your camper in case their primary parent/guardian cannot be reached.
    • Should the camper's emergency contact be called first in case of an emergency during the camp session?*
    •  -

    • Camper/Camper One's Healthcare Provider

    •  -

    • Camper/Camper One's Insurance Information

    • Upload a picture of your camper's insurance.

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  • Camper Two's Personal Information

  • Camper Two's Gender*

  • Camper Two's Medical Information

  • Does camper two have any allergies?*
  • Does camper two have any dietary restrictions?*
  • Does camper two have any chronic illness or conditions?*
  • Does camper two have any prescribed medication, an inhaler, or an epinephrine injection device (EpiPen)?*
  • Is camper two up to date on the immunizations required for public school?*

  • Camper Two's Family Information

  • Is your second camper's family information (parent/guardian, emergency contact, healthcare provider, insurance) the same as your first camper's?*
    • Copy of Camper One's Family Information 
    • Camper Two's Family Information 

    • Camper Two's Parent/Guardian Information

    •  -

    • Camper Two's Emergency Contact Information

      Please list an emergency contact for your camper in case their parent/guardian cannot be reached.
    • Should camper two's emergency contact be called first in case of an emergency during the camp session?*
    •  -

    • Camper Two's Healthcare Provider

    •  -

    • Camper Two's Insurance Information

    • Upload a picture of camper two's insurance.

    • Browse Files
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    • Browse Files
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  • Camper Three's Personal Information

  • Camper Three's Gender*

  • Camper Three's Medical Information

  • Does camper three have any allergies?*
  • Does camper three have any dietary restrictions?*
  • Does camper three have any chronic illness or conditions?*
  • Does camper three have any prescribed medication, an inhaler, or an epinephrine injection device (EpiPen)?*
  • Is camper three up to date on the immunizations required for public school?*

  • Camper Three's Family Information

  • Is your third camper's family information (parent/guardian, emergency contact, healthcare provider, insurance) the same as your first two's?*
    • Copy of Camper One's Family Information 
    • Camper Three's Family Information 

    • Camper Three's Parent/Guardian Information

    •  -

    • Camper Three's Emergency Contact Information

      Please list an emergency contact for camper three in case their parent/guardian cannot be reached.
    • Should camper three emergency contact be called first in case of an emergency during the camp session?*
    •  -

    • Camper Three's Healthcare Provider

    •  -

    • Camper Three's Insurance Information

    • Upload a picture of camper three's insurance.

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    • Browse Files
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  • Camper Four's Personal Information

  • Camper Four's Gender*

  • Camper Four's Medical Information

  • Does camper four have any allergies?*
  • Does camper four have any dietary restrictions?*
  • Does camper four have any chronic illness or conditions?*
  • Does camper four have any prescribed medication, an inhaler, or an epinephrine injection device (EpiPen)?*
  • Is camper four up to date on the immunizations required for public school?*

  • Camper Four's Family Information

  • Is your fourth camper's family information (parent/guardian, emergency contact, healthcare provider, insurance) the same as your first three's?
    • Copy of Camper One's Family Information 
    • Camper Four's Family Information 

    • Camper Four's Parent/Guardian Information

    •  -

    • Camper Four's Emergency Contact Information

      Please list an emergency contact for camper four in case their parent/guardian cannot be reached.
    • Should camper four's emergency contact be called first in case of an emergency during the camp session?*
    •  -

    • Camper Four's Healthcare Provider

    •  -

    • Camper Four's Insurance Information

    • Upload a picture of camper four's insurance.

    • Browse Files
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    • Browse Files
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  • Camper Five's Personal Information

  • Camper Five's Gender*

  • Camper Five's Medical Information

  • Does camper five have any allergies?*
  • Does camper five have any dietary restrictions?*
  • Does camper five have any chronic illness or conditions?*
  • Does camper five have any prescribed medication, an inhaler, or an epinephrine injection device (EpiPen)?*
  • Is camper five up to date on the immunizations required for public school?*

  • Camper Five's Family Information

  • Is your fifth camper's family information (parent/guardian, emergency contact, healthcare provider, insurance) the same as your first four's?
    • Copy of Camper One's Family Information 
    • Camper Five's Family Information 

    • Camper Five's Parent/Guardian Information

    •  -

    • Camper Five's Emergency Contact Information

      Please list an emergency contact for your camper in case their parent/guardian cannot be reached.
    • Should the camper's emergency contact be called first in case of an emergency during the camp session?*
    •  -

    • Camper Five's Healthcare Provider

    •  -

    • Camper Five's Insurance Information

    • Upload a picture of camper five's insurance.

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    • Browse Files
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  • Camper Consent Agreements

    The consent forms below apply to all children registered on this form. Living River's Medical and Liability Releases are required for participation and for submitting this form. If you have any questions, please email office@livingriver.org.

  • Living River: A Retreat on the Cahaba, Inc. Participant Photo and Media Release

    I understand that photos of my child or me may be used by Living River for publicity purposes in print or on social media. Names will not be printed. If I do not wish photographs of my child to be used in this capacity I will notify staff, in writing, before the beginning of the camp session. 

  • Please Select:*

  • Living River: A Retreat on the Cahaba, Inc. Participant Medical Release

    I, the undersigned, give authorization for Living River's liscenced healthcare providers and staff to address the medical needs of my child according to their training and Living River's policies. I, the undersigned, understand that I will be notified in case of medical or surgical emergency involving my child. However, in the event that I or persons I have designated cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. I understand Living River will not be responsible for medical expenses incurred, but that such expenses will be my responsibility as parent/guardian. I will notify the camp director of any problems or restrictions which would affect participation in normal camp activities prior to the camp period. I also understand that the adult supervisors reserve the right to restrict my child from any activity that they do not feel is within the physical capabilities of my child. I agree to abide by the decisions of the director(s) in the case of sending the camper home due to illness or fails to abide by the camp rules.

  • Living River: A Retreat on the Cahaba, Inc. Participant Release of Liability and Assumption of Risk Agreement

    In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned, acknowledge, appreciate, and agree that: 

    1. The risk of injury from activities involved in this program is significant, including the potential for permanent paralysis and death. 

    2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation. 

    3. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. 

    4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS LIVING RIVER: A RETREAT ON THE CAHABA INC., its officers, officials, agents and/or employees, other participants, volunteers, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law. 

    5. I will abide by all local, state, and federal guidelines or laws.

    For Parents/Guardians of Participants(s) of Minor Age (under age 18)- I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. 

  • Your electronic signature below affirms the validity of the information on this form and is equally as binding as an original, manual signature. Your signature applies the above consent releases to every camper you have registered.

  • Living River Day Camp at Baytreat 2026 Payment

  • You may choose:

    • "Pay now" (sibling discount automatically applied). 
    • "Bill me my total after Day Camp" (select this option if you'll be receeiving the Presbytery of South Alabama scholarship and/or need additional scholarship).
    • "Bill my chuch" if you have made arrangements for your church to cover the cost of Day Camp

    Sibling Discount- For Living River Day Camp at Baytreat, Living River offers a sibling discount of $25 for the second child registered and $50 for every additional child (third and above). The sibling discount will be automatically applied. 

    Scholarship- If you need financial assistance, please email Rachel Mathews, rvmathews@livingriver.org.

  • Payment Options*
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