Cell phones will be turned into the camp counselors at the beginning of camp and kept in a safe place. Campers will be allowed to call home, if necessary, at the discretion of the camp staff.
FORM, and MONEY DUE May 3, 2026
$20 late fee for any forms turned into Katelyn Stewart or Cassandra Price after the due date
2026 Freedom Fellowship Church Camp Registration Form
Camp Date: June 22-26,2026
Cost: $80 for campers and counselors (If you are just visiting with us, please pay $10 per day for your meals thank you) and wish to eat
Desired position at camp (please circle):
Camper
Jr Camper (9 and under)
Name
First Name
Middle Initial
Last Name
Age at camp time
Date of Birth
-
Month
-
Day
Year
Date
Please note the camper should be at least
10 years of age
unless arrangements have been made with camp directors.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
First Name
Last Name
Phone
Format: (000) 000-0000.
(day time)
Emergency Phone (if number above is unable to be reached)
Format: (000) 000-0000.
Name/Relationship
First Name
Last Name
Name/Relationship
First Name
Last Name
Please note that the people listed above are the ones to contact if your child needs to come home or is crying to come home. It will be your responsibility to pick your child up under these circumstances.
Church you are coming to camp with? (Please circle one)
Freedom Fellowship
Paradise
New Day
Harvest Time Chapel
Rooted in Faith
RETURN THIS FORM
HEALTH INFO
This form must be COMPLETELY filled out by parent/guardian
Back
Next
Should the need arise, camper may be given
Acetaminophen (Tylenol, etc.)
YES
NO
Benadryl
YES
NO
Ibuprofen (Motrin, Advil, etc.)
YES
NO
Tums, Pepto-Bismol, etc.
YES
NO
Laxative, Stool Softener
YES
NO
Family Doctor
Dr's phone
Format: (000) 000-0000.
Any medical treatment the camper is currently under:
Any medications currently taken on a regular basis:
Any physical condition requiring special consideration:
List ANY allergies of camper (please include food and medication):
Is the camper susceptible to nose bleeds, sleep walking, bed-wetting, etc? If so, please state below
All medications prescription or over the counter must be in original containers and placed in a Ziploc bag with camper's name on it. Include an index card with child's name, medication, and administration/dosage on it.
ALL MEDICATIONS WILL BE TURNED IN TO CAMP NURSE UPON ARIVAL TO CAMP! (Including Tylenol, ibuprofen etc. Campers under the age of 18 will not be permitted to have medications in their possession. The only exception would be rescue inhalers, epi-pen etc.)
Parent's insurance info: (please attach a copy of your insurance card to form. The copies will be shredded after camp.) If you do not have insurance, please put N/A in the blanks that apply.
RETURN THIS FORM
Policy number
Address and/or phone number
Back
Next
T-Shirt Size
Please circle ONLY 1 option- If size is not circled, a shirt will not be ordered
Youth size: XSm Sm Med Lg XL
Adult size: Sm Med Lg XL 2XL 3XL 4XL 5XL
Please keep in mind, all forms turned in after the due date are not guaranteed a T-shirt.
RETURN THIS FORM
Important Signatures
I give my permission for my child
Parent/Guardian Signature:
Date
-
Month
-
Day
Year
Date
Back
Next
If any emergency should arise and the parent or guardian is unable to be reached and the camper must be taken to the hospital for treatment, your signature below would give permission for treatment.
Parent/Guardian Signature:
Date
-
Month
-
Day
Year
Date
(Please notify us of any
change in above information before camp)
I give permission for Freedom Fellowship Church Camp to use an publish my child's photograph for educational and promotion purposes without compensation, such as social media and presentations. Please check 1 option and sign below.
Permission for photograph use
I give permission
I do not give my permission
Parent/Guardian Signature:
Date
-
Month
-
Day
Year
Date
Please return this form and your $80 registration fee to Katelyn Stewart or Cassandra Price or by mail 9541 Morral Kirkpatrick Rd E. Galion, OH. 44833
For further information call Katelyn at (740) 262-7469 or Cassandra at (419) 834-3304
Make checks payable to Freedom Fellowship Church Camp
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