Sunday School Camp Registration Form

Sunday School Camp Registration 23-25 JAN 2026

Camp Wilkin, Angelsea
Is the camper

ServantChild
Camper's Information

Please fill in form for each child Separately
Last Name*
First Name*
Gender*

MaleFemale
Address*
City*
State*
Zip*
Birth Date*

MonthDayYear
School Year Level*
Parent or Guardian Information
Parent/ Guardian*
Relation*
Cell Phone

Area CodePhone Number
Parent/Guardian 2*
Relation 2*
Cell Phone 2

Area CodePhone Number
Emergency Contact Info
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Email Confirmation
Parents Email (camper confirmation will be sent by email)*
example@example.com
Camper's Email (optional)
example@example.com
Health Information

A health officer is on site at all times.
Any activity the camper should be restricted from?
Any physical, mental or other condition that would require special attention or medication while at camp?
List all medications, both prescribed and over the counter, all medications will be turned into the health officer except rescue inhalers, bring all medication in original containers.
List any allergies (ex: bees,peanuts, dairy)
Any dietary needs that we should know about?
Camper Photo Release
I agree that photos of my child can be taken and used for camp social media purposes

YesNo
Payment Information
- Be certain to enter your email address correctly on the registration form to receive confirmation via email with in 48hours

By hitting submit and putting your initials, you agree that you are the parent or guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel.I certify that my child has my permission to attend camp and participate in all activites.
Electronic signature

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Camper's Information