Clone of Adventure Camp Summer 2025

Adventure Camp 2026 July 27-31st 8:45am- Noon (ish) Registration Ends June 5th

Wakeshma Community Church 16732 East UV Ave, Fulton MI 49052
Camper Information
Name

First NameLast Name
Birth Date

MonthDayYear
Age
MaleFemale
Grade (Fall 2026)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Our Home Church Is:
Parent/Guardian Information
Parent 1

First NameLast Name
Parent 2

First NameLast Name
Cell Number Parent 1
Format: (000) 000-0000.
Cell Number Parent 2
Format: (000) 000-0000.
E-mail
example@example.com
Child Small (5-6)Adult LargeChild Medium (8-10)Adult XLChild Large (10-12)Adult 2XAdult SmallAdult 3XAdult Medium
Mini-Camp: My Child is between the ages of 4yrs old and Kindergarten (in the fall) and will participate in mini-camp. There are no workshop choices for this age. Please consider your child’s maturity level when signing up for camp. We are unable to accommodate parents in classrooms with their child, nor do we have the staffing to provide the needed attention if your child finds it hard to settle in. Of course, we expect some adjustment to camp on the first day. But if your child continues to struggle with parent separation we will need to send them home.
BasketballVolleyballFootballPickleballRecycled ArtCornholeHarvest Remedies & FoodCanvas PaintingYard Art with JunkBike Repair/BuildingWeird Science
We try to honor first choices- please tell us your first choice of the above. Register early before workshops fill up!
I (adult or teen) would like to volunteer to help at Camp and I would like to help in this area:
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Authorized Pick Up person:
Name and phone number
Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe.
Adventure Camp is free and we love to have all the kids come. It costs about $25 per child to come to camp. If you are interested in donating to cover your kids costs, or those of others, we will make sure we use it wisely! You can donate by sending in a check, or on our website, WakeshmaCommunityChurch.org

A link is provided below, look for the Give Online option and then Adventure Camp!
https://www.wakeshmacommunitychurch.org
Official Camp Mumbo Jumbo- Important but not so fun stuff:

Photographs will be taken during camp. WCC cannot guarantee that there will be no pictures taken of your children. Many families have digital cameras or cell phone cameras. If you are uncomfortable with your children having their pictures taken please talk to Shannon Chambers and we will try to accommodate you as best as possible.

Release for Minors: In signing this document, I hereby certify that the above information is correct; for the release of medical records in case of illness or injury; and for the camp personnel to perform routine medical treatment. In the event that I cannot be reached (parent/guardian), I give permission to the physician selected by Wakeshma Community Church to give emergency medical treatment. As Parent and/or Guardian of the named camper I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Activities at Camp: While we do our very best to provide a safe and well-supervised environment, many of our activities naturally involve some level of physical movement and adventure, which can carry a degree of risk. Our team takes safety seriously. However, as with any active environment, bumps, scrapes, or minor injuries can occasionally happen. If there are any specific activities you would prefer your child not participate in, please let us know ahead of time—we are happy to accommodate and ensure your child still has a wonderful camp experience.

Thank you for trusting us with your child—we’re looking forward to a safe, fun, and memorable time together!
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

Adventure Camp 2026 July 27-31st 8:45am- Noon (ish) Registration Ends June 5th