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  • Camper Application

    Sponsored by City Church of Lancaster / 44514 N 20th Street West, Lancaster, CA 93534 (661) 945-6671

  • April 2026

     

    Dear Social Workers & Foster Parents, 

    We would like to extend an invitation to your child to attend Royal Family KIDS Camp. Royal Fmily KIDS Camp is a one-week overnight camp for children, 7-11 years old, Dates of camp will be Monday June 15, 2026 to Friday June 19, 2026. Your Child will leave the parking lot of City Church on Monday morning, June 15, 2026 and return on Friday afternoon, June 19, 2026. Our camp is located in the beautiful Fraizer Park area.

    Water Activities, Bible stories, music, and a variety of non-competitive sports round out a program emphasizing wholesome exercise and the building of positive memories. There are a number of Activities Centers from which to choose to explore.

    The opportunity to develop good attitudes toward peers, to learn about the outdoors, will be present everywhere for the children. Special guest speakers and entertainers add to make each year a memorable experience. There is one counselor for every two children, so your child will have individualized attention.

    Below is the campers registration application. Please complete the application and return it as soon as possible, as space is limited. There is a $25.00 NON-REFUNDABLE Administrative Fee per child that will be paid through paypal at the end of your application through a link. Once we recieve your application, application fee, and social worker signiture, we will send you a letter confirming your child's place at camp and a list of suggested items to bring to camp. Please note: space is limited. The sooner the COMPLETED application, required social worker signiture, and non-refundable administrative fee are turned in, the higher the chances are of your child attending camp. Also, please note that there is never a guarantee your child will go to camp until after our mandatory counselor training. 

     

    We ask that you do not withhold your camper from camp as punishment for misbehavior. with the possibilities to make a life changing difference in his/her life. We believe that as many children as possible should have the opportunity to go to camp each summer.

     

    If you have any questions, please call me at (818) 468-3592 or email me at vanessavrfk@gmail.com

    Note: City Church office hours are 9:00AM to 4:00PM, Monday thru Thursday.

    Looking forward to a great week at camp!

     

    Sincerely,

    Vanessa Vargus

    Child Placement Coordinator

  • Child Information

  • Gender of Camper*
  • Date of Birth:*
     - -
  • Choose all that apply:*
  • Primary Caregiver is: **
  •  -
  •  -
  •  -
  • Child T-Shirt Size*

  • Social Worker's Information

    We will be sending out an email to Social Worker to sign a PDF once application is received. *Social worker Signature is just making aware that child is attending Royal Family KIDS Camp*
  •  -

  • Childs History

  • Does child have current visitations with biological parent(s)
  • Has the camper been the victim of physical abuse? **
  • Has the camper been the victim of sexual abuse? **
  • Please mark all that apply to child's current emotional or behavioral concerns: (The camp Child Specialist will reach out prior to camp to discuss items marked to give the camper the best possible experience at camp).

  • Camper Details

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

  • Health & Medical History

  • Please mark all that apply:
  • Does the child have any of the following known allergies?
  • Does the camper have asthma?*

  • Prescription Medications

    Medication Routine needs to stay the same as school routine during camp! Pack enough medication to be taken throughout Summer camp!
  • Does the child take any medications?*

  • Unless otherwise instructed below, the Camp Nurse may administer any of the following over the counter (OTC) medications as indicated:

    Tylenol/Ibuprofen

    Antihistamine/Benedryl

    Ipecac Syrup

    Pepto Bismol

    Imodium

    Constipation Relief

    Decongestant

    Cough Drops

    Cough Syrup

    Hydrogen Peroxide

    Band-aids

    Lidocaine (spray/cream)

    Cortisone (cream)

    Betadine

    Eye Ointment

    Anti-fungal

    Antibiotic Ointment/Neosporin

    Lip Balm

    Insect Repellant

    Sunblock / Sunburn

    Rid / Lice Controller

     

  • Authorization for Over The Counter (OTC) Medications*

  • Childs Medical History

  • Has the child had any serious illness, injuries, or medical operations in the last three years?*
  • Are all immunizations current for the camper?

  • Authorized Person(s) to Pick Up Child:

    Authorized person(s) will need to show identification and be cleared with Social Worker/Case Workers to pick up child. Children will NOT be released to unauthorized or previously cleared person(s). PLEASE ARRIVE AT PICK UP LOCATION (the pick up location, date, and time to be announced)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Medical Authorization and Release:

  • Date*
     - -

  • Dear Parents, Foster Parents and Social Workers

  • Dear Parents, Foster Parents and Social Workers! Welcome to a new year at Royal Family KIDS Camp. We are so honored to be entrusted with your camper for an entire week. We believe that your kids are valuable, and so we have made every effort to ensure that your camper has a safe and fun week at camp. As part of our efforts to make camp a great experience we have equipped ourselves with a great staff, nurses and mental health professionals. As camp is a wonderful time for both staff and campers, it can be overwhelming. In order to handle the many emotions that can arise, we have an onsite social worker to help us manage any conflicts that may arise. To consent to have your child interact with the social worker, please sign below. Again. this is to ensure that your child has a great experience at camp.*

  • RFKC Administrative Fee*

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      RFKC Administrative Fee

      NON-REFUNDABLE

      $25.00$25.00
        

    • Payment Methods

      Fastlane Checkout

      Choose from one of the PayPal options to make your payment.

      Contact Info

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