RETURN THIS FORM
FORM and MONEY DUE MAY 3, 2026
18 AND OVER FORM
$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 and wish to eat with us, please pay $10 per day for your meals thank you)
Desired position at camp (please circle):
Camper
Counselor
Staff
Kitchen
Pastor
Security Team
Name
First Name
Middle Initial
Last Name
Name you like to
Male/Female
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
Format: (000) 000-0000.
(day time)
Emergency Phone (if number above is unable to be reached)
Format: (000) 000-0000.
Name/Relationship
HEALTH INFO *THIS INFO IS MANDITORY*
This form must be COMPLETELY filled out (please use back if you need more room)
Physician's name
phone
Format: (000) 000-0000.
Any medical treatment the camper is currently under:
Any medications currently taken on a regular basis:
List ANY allergies of camper:
T-Shirt Size
Please circle ONLY 1 option
Solid Color or White T-Shirt
Solid Color
White T-Shirt
Youth size:
XSm
Sm
Med
Lg
XL
Adult size:
Sm
Med
Lg
XL
2XL
3XL
4XL
5XL
I give permission for Freedom Fellowship Church Camp to use an publish my photograph for educational and promotion purposes without compensation, such as social media and presentations. Please check 1 option and sign below.
I give permission
I do not give my permission
Signature:
Date
-
Month
-
Day
Year
Date
A BACK GROUND CHECK WILL BE DONE ON ANYONE ATTENDING CAMP 18 AND OVER SO PLEASE BE SURE TO FILL OUT THIS FORM COMPLETELY
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
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