Camper Registration Documents 2026

  • Camper or Adult Sponsor Information

    • General Camper Information 
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    • Group Leader Information 
    • Emergency Contacts 
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  • ADULT LIABILITY RELEASE AND INDEMNITY

  • I, we/are fully informed about and aware at the attending camp (Highland Lakes Camp and Conference Center in Spicewood, Tx; OR Mt Lebanon Camp in Cedar Hill Texas; OR Glorieta Adventure Camp, Glorieta NM; hereafter referred to as "camp") in connection with an event of the Southern Baptist of Texas Convention (SBTC), certain risks and dangers may occur. These include, but are not limited to, the hazards that arise from being in a wilderness area, the forces of nature and other hazards arising out of the content of this program which include, but are not limited to, volleyball, softball, basketball, archery range, wilderness hiking, swimming, use of water crafts, and a challenge course which has a climbing wall, zip lines, high and low elements, and a team power pole. In consideration of the attending camp and the SBTC providing and my willingness to engage in these rigorous activities and a special environment, I have and do hereby hold the attending camp and the SBTC and their owners, officers, directors, trustees, agents, employees, and/or volunteers, harmless from any and all claims, liabilities, suits, actions, causes, damages, or losses and demands of every kind and nature whatsoever, including without limitation, all costs and attorney fees, which may arise from or in connection with my stay or participation in any activities arranged for or by the attending organization or group leaders, the attending camp, or the SBTC. Injuries may include, but are not limited to, emotional injuries, physical injuries, or death. The terms hereby shall serve as a release and assumption of risk for my heirs, executors, administrators, and for all family members of mine.

    I give permission for photographing and videoing by the attending camp and the SBTC for the sole purpose of digital and printed promotional mediums.

    In the case of accident or illness, I authorize first aid personnel or the nurse of the attending camp to examine, treat, or administer medications for any illness or injury to myself as deemed necessary. In the event of an emergency involving myself, I authorize such persons to obtain any medical care (including hospitalization, injection, anesthesia, and surgery) from a licensed, certified, or authorized health care provider for myself as deemed necessary. I accept sole responsibility for the payment of any medical care for myself. I hereby release, indemnify and hold harmless the attending camp, the STBC, their owners, officers, directors, trustees, agents, employees, and/or volunteers from and against any and all claims liabilities, or damages arising from any act, omission, negligence, or gross negligence of any such health care provider or attending camp, or the SBTC, their owners, officers, directors, trustees, agents, employees, or volunteers.

    I expressly agree the release, wavier, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Texas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

    I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS

    THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and have understood.

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  • MINOR LIABILITY RELEASE AND INDEMNITY

  • I, the parent or legal guardian, of the above mentioned minor, am fully informed about and aware that during the above mentioned minor's stay at the attending camp (Highland Lakes Camp and Conference Center in Spicewood, Tx; OR Mt Lebanon Camp in Cedar Hill Texas; OR Glorieta Adventure Camp, Glorieta NM; hereafter referred to as "camp") in connection with an event of the Southern Baptist of Texas Convention (SBTC), certain risks and dangers may occur. These include, but are not limited to, the hazards that arise from being in a wilderness area, the forces of nature and other hazards arising out of the content of this program which include, but are not limited to, volleyball, softball, basketball, archery range, wilderness hiking, swimming, use of watercrafts, and a challenge course which has a climbing wall, zip lines, high and low elements, and a team power pole. In consideration of the attending camp and the SBTC providing and the minor's willingness to engage in these rigors activities and a special environment, I have and do hereby hold the attending camp and the SBTC and their owners, officers, directors, trustees, agents, employees, and/or volunteers, harmless from any and all claims, liabilities, suits, actions, causes, damages, or losses and demands of every kind and nature whatsoever, including without limitation, all costs and attorney fees, which may arise from or in connection with the above mentioned minor's stay or participation in any activities arranged for the above mentioned minor by the attending organization or group leaders, the attending camp, or the SBTC. Injuries may include, but are not limited to, emotional injuries, physical injuries, or death. The terms hereby shall serve as a release and assumption of risk for the above mentioned minor, parent(s)/guardian(s), heirs, executors, administrators, and for all family members of the above mentioned minor.

    I, the parent/guardian of the above mentioned minor/my child, give permission for the photographing and videoing of the above mentioned minor/my child by the attending camp and the SBTC for the sole purpose of digital and printed promotional mediums.

    In the case of accident or illness, I authorize first aid personnel or the nurse of the attending camp to examine, treat, or administer medications for any illness or injury to the above mentioned minor/my child as deemed necessary. In the event of an emergency involving the above mentioned minor/my child, if I, the parent/guardian, cannot be reached by telephone, I authorize such persons to obtain any medical care (including hospitalization, injection, anesthesia, and surgery) from a licensed, certified, or authorized health care provider for the above mentioned minor/ my child as deemed necessary. I accept sole responsibility for the payment of any medical care for the above mentioned minor/my child. I hereby release, indemnify and hold harmless the attending camp, the STBC, their owners, officers, directors, trustees, agents, employees, and/or volunteers from and against any and all claims liabilities, or damages arising from any act, omission, negligence, or gross negligence of any such health care provider or attending camp, or the SBTC, their owners, officers, directors, trustees, agents, employees, or volunteers.

    I expressly agree the release, wavier, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Texas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

    I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and have understood.

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  • Medical Treatment Release & Medical Information

  • IN THE EVENT OF AN ACCIDENT OR SPECIAL HEALTH NEEDS, IT WILL BE NECESSARY FOR US TO HAVE THE REQUESTED INFORMATION. PLEASE MAKE CERTAIN THAT YOU HAVE PROVIDED THOROUGH AND ACCURATE MEDICAL INFORMATION. IT IS RECOMMENDED THAT YOU ATTACH A PHOTOCOPY OF YOUR FAMILY MEDICAL INSURANCE CARD.

    • Family Physician Information 
    • Allergies and History 

    • Please note that while we understand there are many people with more extensive dietary needs, campgrounds are only (usually) able to accomodate to the gluten-sensitive and sometimes the dairy-free individuals. If the aforementioned minor/camper requires a specific diet, please contact your group leader before camp.

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    • Health Care and Permissions 
    • HEALTH CARE AND CAMP PERMISSION - INITIAL & SIGN THE STATEMENTS BELOW.

      I give permission for first aid techniques and simple health care to be administered as the need arises. I understand in the event of any serious injury or illness on my part the camp officials reserve the right to seek professional medical attention including but not limited to consultation with medical director, EMS transportation, and hospitalization.

      I give permission for myself or my child/ward, in consultation with the Camp Health Supervisor and/or the medical director's standing orders, to take the following medications as indicated by checking below.

    • Attestation to Accurate Medical Information and Insurance Card Upload 

    • Attestation to Accurate Medical Information

    • I hereby attest that all information listed on this Medical Form is complete and accurate to the best of my knowledge that I or my child/ward am/is in acceptable heath, physical ability, and emotionally ready to fully participate in camp or retreat activities. I grant my permission to participate in all activities associated with the enrolled event with the exceptions of those that are noted.

      I, being the legal guardian of (if applicable) give my permission to camp management, medical staff, and/or the group director to provide medical treatment that may be deemed necessary to insure the well-being of myself/the named camper. I do hereby release and forever discharge all from any and all claims, demands, actions or cause of action arising out of damage or injury while participating in camp sponsored activities.

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  • MEDICATION ADMINISTRATION AUTHORIZATION

  • This form is to be completed and submitted UPON ARRIVAL at [Camp Name] to the [Camp Site Name] Medical Staff WITH below described medications.

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  • For Prescription Medications only PLEASE follow these guidelines: In accordance with Texas Department of Health regulations: ALL Medication that is brought to camp must be: (1) Placed in a secure location not accessible to campers, (2) Prescribed for the camper (not a sibling or parent), (3) In the original container with all labels intact, and (4) Correct current dosage.

    Dosage of non-prescription medication may not exceed product recommendation without doctor's written orders. [Camp Site Name] staff request that you do not send over- the-counter medications (i.e. Tylenol, Ibuprofen, Benadryl, etc These types of medications are provided by [Camp Site Name]

    • Prescription Medication Information 

    • If necessary, make additional copies of this Medication Form in order to provide requested information for each medication. All Medication Release/Administration Forms and medication(s) to be administered should be given to the church Contact Person prior to arriving at [Camp Site Name]. When the church group arrives at camp, the Contact Person will be responsible for bringing all medications and forms to the [Camp Site Name] Office. The Forms will be reviewed by our Medical Staff to clear up any possible questions about medications or their administration. To make it easier for the church Contact Person, the parent/or student should put their medications and signed Medication Administration Authorization forms in a zip-lock type plastic bag with the student's name and church written with a marker on the outside of the bag. Parents should emphasize to their child(ren) the responsibility of reporting to the camp Health Center for their medications while at camp.

    • Supervision Standards 

    • The following are the basic supervision policies that will be observed. Each adult worker/volunteer must sign to confirm their intent to comply with the Supervision Standards listed below.

      • No unmonitored one-on-one situations - at no time, shall any child be alone with only one worker/volunteer. Exceptions might be for counseling in a location where both the worker/volunteer and child can be observed at all times.
      • No inappropriate touching of minors (for discipline or otherwise) and limited physical contact. Physical discipline is prohibited.
      • Respect of privacy - respect the privacy of minors in situations like changing clothes, showers, restrooms, etc. Adults must protect their own privacy also in these situations.
      • Using cameras of any kind are prohibited in these private environments.
      • Monitoring - all activities must take place in rooms that can be observed. In addition, at times parents may also view children's activities if they do so discreetly and do not disrupt the event in progress.
      • Ratios - the appropriate numbers of adults will supervise minors of various age groups based on accepted
      • Peer-to-peer abuse - peer-to-peer abuse will not be tolerated.
      • No forced participation - all recreational or physical activities are optional.
      • If a participant's behavior becomes detrimental to themselves or others, a report should be made to the SBTC staff member in charge of the event.
      • All workers/volunteers will strive to be a Godly witness to minors, other workers, and parents.

      In the interest of the safety for minor participants, I agree to make best efforts to comply with these supervision standards.

    • SBTC Volunteer Background Check Authorization 

    • FCRA NOTICE AND ACKNOWLEDGMENT IMPORTANT - PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT NEW ADDITIONS HAVE BEEN MADE JANUARY 2014 IN ORDER TO COMPLY WITH THE FCRA ARTICLE 13.

    • NOTICE REGARDING BACKGROUND INVESTIGATION

    • THE SOUTHERN BAPTISTS OF TEXAS CONVETNION (SBTC) may obtain information about you for its benefit and the benefit of its affiliated churches, from a consumer reporting agency. Thus, you may be the subject of a "consumer report" and/or an "investigative consumer report" which may include, but is not limited to: social security number verification; criminal and civil court records; personal interviews; driving records; and/or any other public records or any other information bearing on your character, general reputation, personal characteristics and trustworthiness. These reports may be obtained at any time after receipt of your authorization and, if you are selected, throughout your affiliation with the Company. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. The report will be generated by christianbackgroundchecks.com (1200 South Outer Road, Blue Springs, MO 64015/816-228-5255) or another outside organization. The scope of this notice and authorization is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and, if you are selected, throughout your affiliation with the Company to the extent permitted by law. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report. In compliance with the FCRA Article 613, an email address and mailing address is required by each applicant in order for christianbackgroundchecks.com to be able to send a consumer copy of any criminal records returned.

    • ACKNOWLEDGMENT AND AUTHORIZATION

    • I acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION (above) and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT (separate document) and certify that I have read and understand both of those documents. I hereby authorize the obtaining of "consumer reports" and/or "investigative consumer reports" at any time after receipt of this authorization and, if I am selected, throughout my affiliation with the SBTC. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by christianbackgroundchecks.com, another outside organization acting on behalf of the Company, and/or the SBTC itself. I agree that a facsimile ("fax") or photographic copy of this Authorization shall be as valid as the original. Minnesota and Oklahoma applicants only: Please check this box if you would like to receive a copy of a consumer report if one is obtained by the Company.

      Applicants of New York Employers only: I acknowledge that by signing below, I have also received a copy of Article 23-A of the New York Correction Law, in compliance with Article 25 Section 380-g of the New York General Business Law.

      California applicants only: By signing below, you also acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW. Please check this box if you would like to receive a copy of an investigative consumer report or consumer credit report if one is obtained by the Company at no charge whenever you have a right to receive such a copy under California law.

    • Please provide ALL residential addresses for the past seven (7) years. 
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    • Signature 
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  • Parent or Camper, you and your leader will be emailed a completed copy of this form. You are responsible for tracking and coordinating with your group leader that they have received it and you, or your camper, are up to date with your church's policies.

    If you've completed your registration, click submit now.

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