RF Fire Kids VBS Camp 2025 Registration Form

Bank Account Information

BNTB ACCOUNT NAME: Intercession & Restoration Ministries

BNTB ACCOUNT NUMBER: 2000 6060 294 774100

In the description include 'Camper name-RF camping'.

Please email confirmation to firekids@rfbermuda.com

Name of Person Filling Out This Registration Form*

First NameLast Name

Relationship To Camper(s)*

ParentRelativeOther

Indicate Your Preferred Payment Method*

CashDirect Bank Transfer (BNTB)

Camper's Name*

First NameLast Name

Gender*

MaleFemale

Birthdate*

MonthDayYear

Age at Time of Camp (Born between 2013 and 2018)*

This Camper is in this current year level.*

Camper's T-Shirt Size*

Parent/Guardian #1*

First NameLast Name

Relationship to Camper*

Parent/Guardian #1 Contact Number*

Area CodePhone Number

This phone is a:

Cell PhoneWork PhoneHome Phone (land line)

Parent/Guardian #1 Email Address*

Parent/Guardian #2

First NameLast Name

Relationship to Camper

Parent/Guardian #2 Contact Number

Area CodePhone Number

This phone is a:

Cell PhoneWork PhoneHome Phone (land line)

Parent/Guardian #2 Email Address

Best Phone Number for WhatsApp*

Area CodePhone Number

Name of WhatsApp Contact*

Name*

First NameLast Name

Contact Phone*

Area CodePhone Number

Why would this Camper's attendance at the RF Fire Kids VBS Camp be important? Why would you like to see him or her attend Camp?*

This Camper's swimming ability is...*

Poor Swimming AbilityGood Swimming Ability But Requires Flotation device That I Will ProvideExcellent Swimming AbilityDo Not Know Swimming Ability

How would you describe this Camper's hyperactivity?*

If you indicated hyperactivity above, please explain how this may negatively affect their Camp experience.

How often does this Camper withdraw?*

Never withdrawnRarely withdrawnFrequently withdrawnDon't know about how often Camper withdraws yet

If this Camper is withdrawn (or certain circumstances cause this), please explain.

How often does this Camper wet the bed at night?*

If Camper does wet the bed, please explain (i.e. wears pull-ups, don't drink liquids after certain time, just need to be aware, etc.)

If this Camper has food sensitivities or issues around food we should know about - please explain.*

List all known allergies to plants, medications, animals, etc.*

Please list any Illnesses and medical complications past or present*

NON-APPROVED medications / treatments: Check ONLY those you DO NOT WANT the medical team to administer. Please refrain from the following... (Check NONE if you have no objections)*

Please explain why you said NO to the medications you checked above. (If you did not check any, just say DOES NOT APPLY.)*

I understand that it is my responsibility as a caregiver to make sure that all instructions are clear and that the necessary dosage is adequately supplied for the duration of Camp (Thursday, June 26, 2025, to Sunday, June 29, 2025.) I authorize the RF Fire Kids Ministry volunteers to administer the medications.*

Yes, I understand that sharing medical info, medications, and dosages are my responsibility.No, I do not understand that sharing medical info, medications, and dosages are my responsibility.

Prescription or Over-the-Counter Medication #1*

Prescription Medication 1: Reason for taking, DOSAGE, and Time(s) of Day to Administer*

Prescription or Over-the-Counter Medication #2

Medication 2: Reason for taking, DOSAGE, and Time(s) of Day to Administer (Be specific.)

Prescription or Over-the-Counter Medication #3

Medication 3: Reason for taking, DOSAGE, and Time(s) of Day to Administer (Be specific.)

Physician*

First NameLast Name

Physician, Phone Number*

Area CodePhone Number

Parent & Guardian Overview
Thank you for considering Restoration Fellowship Fire Kids Ministry’s VBS Camp 2025 for your child! Here's a quick breakdown of the participation agreement to help you understand what you're agreeing to when you register your camper:

Participation & Safety
- By enrolling, you're giving permission for your child to join in all camp activities.
- Our team will take responsible steps to care for your child’s health and safety. In emergencies, we’ll try to contact you right away.
- Please be aware: while we prioritize safety, camp activities can carry some risk of physical injury, and the ministry is not liable for injuries or damages that may occur.
- Campers are expected to follow our rules and conduct standards. If a camper does not follow these, they may be asked to leave the camp.
- We are not responsible for lost or damaged personal items.

Payment Policy
- Camp fees must be paid in full by June 6th.
- A camper's spot is not guaranteed until full payment is received.

Refund & Cancellation Policy
- Cancel 7 days before camp for a full refund.
- Cancel at least 48 hours before for a partial refund.
- No refunds if canceled less than 48 hours before camp starts, unless there are extenuating circumstances.

Media Consent
You’re giving us permission to take and use photos, videos, and recordings of your child during camp activities.

Privacy Consent
- We collect your child’s information to help us with registration, safety, and communication.
- All information is securely stored and shared only with authorized staff or service providers when needed to support your child.

Parent/ Guardian Signature*

Checklist for this Online Registration : Check that you have ALL items needed to complete this registration.*

ONLINE FORM: Completely filled out AND submitted online. (Please do NOT print this form. It is important to have all information stored online and not in paper form.)ACKNOWLEDGE REGISTRATION FEE: $200.00 per Camper and/or applicable sibling rate (Bank Account Name - Intercession & Restoration Ministries. BNTB Account Number 20006060294774100. In the description include ‘Camper name-RF camping’)ACKNOWLEDGE PAYMENT CONFIRMATION PROCESS: Please email a copy of your online payment confirmation to firekids@rfbermuda.com

Enter the message as it's shown*

Deadlines

Method of Payment

Bank Account Information

Camper's Information

Parent/Guardian Information

Authorized to Collect Camper on Sunday, June 29

Background/Behavior Information

Medical History + Prescription Medication Information

Prescription & Over-the-Counter Medications

VBS Camp 2025 Participation Agreement:

REGISTRATION CHECKLIST