Clone of Registration Form 2025

King Solomon Christian Camp

Registration Form 2026
If you have any trouble with the online registration form or process, please email kingsolomoncamp@gmail.com (this email is only used in regards to the online registration process, not for other camp communication). Once you've completed the form, payment, and successfully submitted, we recommend closing the tab on your internet browser, especially on mobile devices, to avoid an accidental double submission & payment. We look forward to seeing your kids/students at camp this summer!
Camper Information

(each item with a red asterisk is a required field)
Camper's Name*
Birthday*

MonthDayYear
Biological Sex*
Grade Entering in Fall of 2026*
YesNo
What Church Do You Attend? -or- What Church Is the Camper Attending With?*
Camp Registering For?*
YesNo
If yes, who will be accompanying the child?

Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
Parent/Guardian E-mail*

Confirmation Email(this email address will be used for communication purposes)
Phone*
Format: 000-000-0000.
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian 2

(this section optional)
Parent/Guardian 2 (optional)

First NameLast Name
Relationship to Child
E-mail
Phone
Format: 000-000-0000.
YesNo
Home Address

Street Address

Street Address Line 2

CityState

Zip Code

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you.
Emergency Contact #1
Emergency Contact #1*

First NameLast Name
Primary Phone Number*
Format: 000-000-0000.
Secondary Phone Number*
Format: 000-000-0000.
Relationship to Child*
(e.g., grandparent, family friend, aunt, etc.)
Emergency Contact #2

(optional)
Emergency Contact #2 (optional)

First NameLast Name
Primary Phone Number
Format: 000-000-0000.
Secondary Phone Number
Format: 000-000-0000.
Relationship to Child
(e.g., grandparent, family friend, aunt, etc.)
Authorized/Unauthorized Pickup
Who is dropping off your child at camp?*
(e.g. parent, my church, youth minister, etc.)
Who is picking your child up at the end of camp?*
(e.g. parent, my church, youth minister, etc.)
YesNo
If yes, please type name(s) here:

Medical / Health Information
Name of Insurance Co.*
Policy #*
Group #
(if applicable)
Insurance Co. Phone Number*
Format: 000-000-0000.
Address of Insurance Co.*

Street Address

Street Address Line 2

CityState

Zip Code
Name of Physician*
Physician's Phone Number*
Format: 000-000-0000.
Physician's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Last Tetanus or Diphtheria, Tetanus, Pertussis (DTaP) Vaccine:

MonthDayYear
Date
YesNo
If your child will be taking any prescriptions or over-the-counter medications while at camp, you will need to fill out an Individual Medication Card for each medication. You should receive a separate email with a link for that form. Otherwise, it can be found here: https://form.jotform.com/kingsolomoncamp/IMC26
Does your child have any food, medication, or environmental allergies? If yes, please list and explain any allergies:*

0/150
YesNo
If yes, please explain:*
YesNo
Please explain*

0/150
YesNo
If yes, please explain:*

0/150
Please let us know if there are other previous health concerns that would be needed to assist the staff or medical personnel in an emergency situation.*

0/200
List any additional information about your child that would be useful for staff to know, such as fears, eating or sleeping habits, or special routines. This information should not be medical or health related, as that information should be included in the previous questions.*

0/200

Payment*

Rookie Camp (Grades K-2) | June 13$40.00

No late fee

3rd & 4th Grade | June 11-12$140.00

$20 late fee will apply after May 3 earlybird deadline ($160 total)

5th & 6th Grade | June 15-18$240.00

$20 late fee will apply after May 17 earlybird deadline ($260 total)

Middle School (Grades 6-8) | June 22-26$300.00

$30 late fee will apply after May 17 earlybird deadline ($330 total)

High School (Grades 9-Grads) | June 1-5$300.00

$30 late fee will apply after May 3 earlybird deadline ($330 total)

Enter coupon

In order to check the boxes below that you have read and agreed to the terms, you must scroll to the bottom of each of the following text boxes. (We'd love it if you would actually read them!)
Signature*
Date Signed*

MonthDayYear
Date
REMINDER: Once you've completed the form, payment, and successfully submitted, we recommend closing the tab on your internet browser, especially on mobile devices, to avoid an accidental double submission & payment.
Should be Empty: