Summer Sundown Camp

Pritchard Recreation: "Summer Sundown" Camp!
The Final Countdown to the school year is on! Come celebrate the ending of summer with us here at Pritchard Recreation with our final summer camp of the year. Field Day competitions, sports, team building exercises, science experiments, and more! This camp is the perfect way to end summer with a bang!

Camp Details

- Price: $175 for the week.

- This camp is for kids ages 7-12. The camp is located at Pritchard Church in our Recreation Center: 1117 South Boulevard Charlotte, NC 28203

- The camp is August 11th-14th from 9:00-4:00.

- Drop off time is no earlier than 8:30 am and kids must be picked up by 4:30 PM.

- Kids must bring their own packed lunch.

- We will walk to Latta Park/Tom Sykes Rec Center (10 minute walk from campus) for extra games.

For any questions, please contact Recreation Director: Adam Calderone acalderone@pritchardchurch.com
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Name of School*
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com

Authorized Pick Up
Authorized Pick Up 1
Name*
Relationship*
Phone Number*

Area CodePhone Number
Authorized Pick Up 2
Name
Relationship
Phone Number

Area CodePhone Number
Authorized Pick Up 3
Name
Relationship
Phone Number

Area CodePhone Number

Medication
List all medications the participant will take during the Summer Camp Program. Any participant under the age of 18 is required to give ALL MEDICATIONS to the adult youth leader in their original containers with complete dispensing instructions before the start of the event.
Medical Conditions
List any allergies
Please explain any other pertinent information about the participant that would be important to know

Parental Consent
The undersigned does hereby give permission for my child/youth to attend and participate in any Pritchard Memorial Baptist Church summer camp activities during the period of June 10 - August 30 2025. I here by give permission for my child to walk to offsite parks during Summer Camp activities, supervised by adult chaperones.

LIABILITY RELEASE: In consideration of Pritchard Memorial Baptist Church allowing the Participant to engage in Pritchard Recreation Programs (Activities, Events, Retreats, Trips) I, the undersigned, do hereby release, forever discharge and agree to hold harmless Pritchard Memorial Baptist Church, its pastors, directors, employees, volunteers and teachers (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the children/youth activities and childcare. I, the parent, or legal guardian of this Participant, hereby grant my permission for the Participant to take part fully in all recreation related activities, including trips away from the church premises. Furthermore, I, on behalf of my minor Participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred attendant thereto.

EARLY RETURN HOME POLICY: Should it be necessary for my child/youth to return home due to medical reasons, disciplinary action or otherwise, the undersigned shall assume all transportation costs and responsibility.
Signature*

Clear

Photo Release
Dear Parent/Guardian,

We, at Pritchard Recreation, would be from time to time taking photos of students during their activities within the premises. In this regard, we seek your consent for the publishing or use of photos which your child may be included.

The photos will be used for marketing and flyers for future camps.

Should you decided to take back your authorization later on, you may do so by writing to us.

For protection of privacy of the child, we guarantee that names will not be included.
Type a question

I authorize the use of photos involving my child.I do not allow the use of photos involving my child.
Signature

Clear

My Products

Pritchard Rec Camp Registration$175.00

Total $0.00

Credit Card Details
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Credit Card Number	Security Code
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Pritchard Recreation: "Summer Sundown" Camp!

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

Authorized Pick Up

Authorized Pick Up 1

Authorized Pick Up 2

Authorized Pick Up 3

Medication

Medical Conditions

Parental Consent

Photo Release