FUMC Summer Camps

Enrollment Form

Enrollment is open! Space is limited and camps are filled on a first-come, first-served basis. [Camps are 9:00-12:00 each day.]
Camper Information

Please submit a separate form for each camper.
First Name*
Last Name*
Birthdate*

MonthDayYear
Gender*

MaleFemale
Age as of 8/31/2025*
Select age
Address*
City*
State*
Zip*
Camp Selection*

Please select one or both camps below.
May 27 - 30: Pet PaloozaJuly 21-24: It's Cool to Be Kind
*If your camp preference is full, would you like your child to be added to the wait list for their age group?

YesNo
Parent/Legal Guardian Information
Parent/Legal Guardian 1*
First and Last Name
Relation*
Mother, Father, Guardian
Email *
Cell Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Parent /Legal Guardian 2*
First and Last Name
Relation *
Mother, Father, Guardian
Email *
example@example.com
Cell Phone *

Area CodePhone Number
Work Phone

Area CodePhone Number
Emergency Contacts

Needed in the event we are unable to contact the camper's parent/guardian.
Emergency Contact 1*
First and Last Name
Relationship to camper*
Aunt, Uncle, Family Friend, etc
Phone Number*

Area CodePhone Number
Emergency Contact 2
Name
Relationship to camper
Aunt, Uncle, Family Friend, etc
Phone Number

Area CodePhone Number
Other Information
How did you hear about FUMC Weekday School?*

Friend or FamilyChurchCurrent FUMC studentSocial MediaOther
First time student with us?*

YesNo
Is camper potty trained? (No longer using diapers or pull ups)*

YesNo
Current Childcare/School*
Name of preschool, daycare, elementary school, etc
Health Information

All fields are required below. If nothing applies, please type "NONE" in the box.
List any allergies (ex: bees, peanuts, dairy)*
Any physical, mental or other condition that would require special attention while at camp?*
Any other information you would like to share?*
Payment Information

$85 Camp Fee, due with form submission
Method of Payment*

OnlineCheckCash
Online payment is through our Brightwheel student management system. Once your camper's registration is accepted, you will receive an invoice for the camp enrollment fee. If you have more than one camper attending, their fees will be added to the oldest child's account so you may pay for them together in the same transaction. Your child's space is reserved after your payment is received. You may pay online by credit/debit card with a small processing fee or by bank transfer with no fee.

If paying by check, please make it payable to FUMC Weekday School and put the camper name(s) on the memo line. Please mail it to: FUMC Weekday School, PO Box 1423, Wilson, NC 27894.

If you prefer to pay in person, please contact program director, Lorie Daniel, at loriedaniel@fumcwilson.org for office hours. Thank you!
Photographic Authorization

FUMC Weekday School may use photographs and video of campers on their website and social media platforms.
Authorization to use camper's images*

Yes, you may use photographs/videos of my child on the website or other social media platforms.No, you may NOT use photographs/videos of my child on the website or other social media platforms.
Camper Release

By typing my name below and submitting this form, I agree that I am the parent or legal guardian of the above named camper, and am over the age of 18. In case of medical emergency or general medical care, I give consent for medical treatment for the above named camper by authorized personnel. I understand that the above named camper will only be released to the names listed above unless an update is provided prior to the camp date. I certify that my child has my permission to attend camp and participate in camp activities.
Electronic signature*
First name, last name
Thank you for enrolling your child in our summer camp program!

Your submission will be reviewed ASAP. Once it is approved, you will receive an invoice for the camp fee. (Note: It may take 24-48 hours for the review process.) If the camp is full, you will be notified by email. Once your payment is received, your child's spot in summer camp is reserved.
Should be Empty:

Enrollment Form

Camper Information

Camp Selection*

Parent/Legal Guardian Information

Emergency Contacts

Other Information

Health Information

Payment Information

Photographic Authorization

Camper Release