Camp Elohim Registration

Camp Elohim Online Registration

PLEASE COMPLETE A SEPARATE FORM FOR EACH CAMPER
Registration fees are due at the time of online registration through our PayPal link. Your camper will not be registered until both the form and payment are submitted. You are able to use debit, credit, or e-check and YOU DO NOT need to have a PayPal account to use this system. If you do not have a Paypal account you can still check out through PayPal as a guest by clicking the grey "Pay with Debit or Credit Card" button found below the blue log in button to submit your payment.

Only one camper may be registered at a time.
Camper's full name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*

Area CodePhone Number
E-mail address where you'd like to receive confirmation and information*
Camper birth date*

MonthDayYear
Camper's current age*
Camper's biological gender:*

MaleFemale
Grade camper enters in the Fall*
Is there a church you regularly attend, if so, where?
Emergency and Medical Information

PLEASE PROVIDE TWO EMERGENCY CONTACTS
1st Emergency contact*

First NameLast Name
1st Emergency contact relationship*
1st Emergency contact daytime phone*

Area CodePhone Number
1st Emergency contact evening phone (if different)

Area CodePhone Number
2nd Emergency contact*

First NameLast Name
2nd Emergency contact relationship*
2nd Emergency Contact Daytime Phone *

Area CodePhone Number
2nd Emergency contact evening phone (if different)

Area CodePhone Number
Please list other important emergency contacts, their relationship to camper, best phone numbers or other contact information that will be helpful in an emergency
Preferred doctor or clinic*
Doctor or clinic's phone *

Area CodePhone Number
List any medical food allergies (If none, enter NONE)*
List any chronic illness and or physical limitations Camp Elohim should know about (If none, enter NONE)*
Date of last Tetanus shot*

MonthDayYear
List all current medications (If none, enter NONE)*
Is camper covered by medical insurance?*

YesNo
Name of insurance company (enter NONE, if no insurance)*
Policy number (enter NONE, if no insurance)*
Payment and Store Purchases
Select camp session below. Note that registration closes 10 days prior to camp start date, after that date, please call the camp to check availability at (406) 295-1115. Optional Items are also listed to enable preorder of t-shirts, and add funds to camp store, or make a donation to help other kids have a chance to come to camp.*
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Choose below the age appropriate camp$150.00
Jesus Kids Day Camp is $45.00 make selection below to see correct price. Camp week is determined by campers grade in the coming fall school year. Early Bird register by May 31st price is $150.00 after May 31st price is $170.00

Camp Week by Camper age and grade.

T-shirt only Adult M-3XL available$18.00
Unique t-shirt design each summer. Please select the appropriate size in box. Youth M, Youth L, Adult S, M, L, XL, or 2XL Camp does have sweatshirts, hats, and long sleeve t-shirts available in the camp store for purchase.

Select size

Camp Store Funds $10.00
Camp Store is available for campers to purchase snacks, ice cream, pop, hats, pens, stickers, and other camp memorabilia. Funds may also be added at registration.

Total $0.00
** Please make certain to verify the week entered for your camp is correct and that the "Total" shown includes all the items you want to purchase **
Refund Policy
Refunds will be made only if Camp Elohim is notified 10 days prior to the start date of camp except under extenuating circustamces. No refunds are made once the camp week begins. Pro-rated refunds are not offered for attending only a porton of the camp week. Refunds are processed after the camp session ends. Notifications must be made to our Camp Director at (406) 295-1115.
Discipline Policy
Behavior and/or attitudes deemed unacceptable by the discretion of our Camp Director will warrant the camper's prompt dismissal. Parents/guardians will be immediately notified, and will be responsible for the expedient removal of the camper.

Please do NOT bring any books, magazines, or other reading material to camp besides a Bible. Any such items are likely to confiscated and will be returned Friday upon parents arrival.
Consent and Release
As parent or legal guardian of the camper under the age of 18 being registered, or for myself being over the age of 18, I hereby grant permission for the above named camper to attend Elohim Camp and Retreat Center a.k.a. Camp Elohim and consent to its Discipline Policy. I also do hereby release Camp Elohim and Rocky Mountain Bible Mission (RMBM) from any and all liability or responsibility relating to any injury that he/she/I may incur as the result of, or arising in any way from, participation in activities at or under the direction of Camp Elohim. I am fully aware and consent to accept these risks and voluntarily agree to allow his/her/my participation in activities. If I cannot be consulted in an emergency, I hereby give permission to the medical personnel selected by a representative of Camp Elohim or RMBM to hospitalize, secure treatment for, and to order injections, anesthesia, and/or surgery for the person named above. I understand that Camp Elohim only carries secondary insurance and that I will take primary responsibility for any fees or charges at any clinic, facility, or hospital arising from treatment of injury or illness. I furthermore understand Camp Elohim often takes photographs or videos of participants during its activities or events. I grant permission without compensation that these photographs and/or videos may be used in publications, presentations, websites and promotion of Camp Elohim and Rocky Mountain Bible Mission. Camp Eloihim will not identify me or my child by name, nor release any other personal information without additional written permission from me.
Request a Cabin Buddy

Type the name of one person you are requesting to be in a cabin with you. The person you request must also request you. We will do our best to accommodate these requests but we do not guarantee them. Our policy does not allow siblings to room together or more than 2 friends to be together. Camp is a time to meet new people and grow in Christ.
I request that the above camper be able to room with First Name Last Name .
Electronic Signature: By entering my name below, I hereby accept and agree to the above conditions, policies and releases (You must be 18 years old or older to sign)*

First NameLast Name
Relationship to registered camper*
Current Date*

MonthDayYear
For Security, click not a robot and follow the prompts*
Once you've completed all required fields, click "Submit Form and Pay" (below left). You will then be taken to PayPal where payment must be made and the registration process will then be completed. Only one camper may be registered at a time. You can create a copy of this form for your records by clicking "Print for your records" (below right), however the online registration is not completed until you submit and finalize your payment.

To register and send a check by mail please download the registration form found on campelohim.com under Summer Youth Camps

To help you and your camper prepare, print the "Camper and Parent info" pages also found on the orignal camp webpage. Of course, if you need more info, send us an email at campelohimoffice@gmail.com or call (406) 295-1115.
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Request a Cabin Buddy