Clone of 2025 SPJST Summer Camp Registration Form

2026 SPJST Summer Camp Registration

June 28 to July 2, 2026 • Hermann Sons Life Camp • Comfort, Texas
Youth Camper's Information
Youth's Full Name*

First NameMiddle NameLast Name
Nickname
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Age at Camp (as of June 28, 2026)*
All campers must have completed kindergarten. Please indicate the camper's age as of the first day of summer camp on June 28, 2026.
SPJST Lodge Number
if non-member, leave blank
Youth Camper's T-Shirt Size*
Optional: Requested Youth Camper Bunk Friend (age-appropriate and same gender) - Note: placement not guaranteed

First NameLast Name
Optional: Requested Youth Camper Bunk Friend (age-appropriate and same gender) - Note: placement not guaranteed

First NameLast Name
Youth Campers in Grades 9 to 12: Is this youth camper interested in participating in the Leader-In-Training (LIT) program? LITs learn leadership skills and assist with camp activities.

YesNo
Youth Camper's Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian Information
Name of Parent/Guardian*

First NameLast Name
Relationship to Camper*
Mobile Phone Number*
Email Address*
example@example.com
Emergency Contacts
Name of Emergency Contact No. 1*

First NameLast Name
Relationship to Camper*
Phone Number*
Name of Emergency Contact No. 2*

First NameLast Name
Relationship to Camper*
Phone Number*
Youth Camper Drive-Through Check-Out Contact on July 2 between 9 and 11 a.m.

*Parents (or approved adult) will need to provide valid ID at the main gate in order to enter camp to pick up their child on day of departure.
Name of Parent (or approved adult) picking up camper on July 2 between 9 and 11 a.m.

First NameLast Name
Phone Number of Parent (or approved adult) picking up child
Please enter a valid phone number. This is in case a child is not picked up by 11 a.m. on July 2.
Physician/Health Insurance
Primary Physician Name*
Primary Physician's Phone Number*
Please enter a valid phone number.
Name of Health Insurance Provider*
Health Insurance Provider's Phone Number*
Please enter a valid phone number.
Health Insurance Number*
Youth Camper's Medical Information
Does the youth camper have any allergies, chronic illnesses, or medical conditions?*

NoYes (please describe below)
If "yes," please describe any allergies, chronic illnesses, or medical conditions.
Will this youth camper take medication during camp? (A Hermann Sons Life Camp Health History Form must be completed on each camper.)*

NoYes
Does this youth camper have any special dietary needs?*

NoYes (please explain below)
If "yes," please explain any special dietary needs.
Consent and Release Forms
Informed Consent and Acknowledgement

I, the undersigned parent or legal guardian, grant approval for my child's participation in all activities organized by SPJST and Hermann Sons Life Camp during the selected camp. These activities may include swimming, arts, hiking, sports, and other events.

In consideration for SPJST and Hermann Sons Life Camp accepting my child's participation, I acknowledge and assume all risks and hazards associated with the activities. I release, absolve, and hold harmless SPJST and Hermann Sons Life Camp, along with their officers, directors, staff, agents, and representatives, from any liability for injuries to my child during travel to, participation in, or return from the selected camp sessions.

In the event of injury to my child, I waive all claims against SPJST and Hermann Sons Life Camp, including officers, directors, staff, leaders, affiliates, participants, and, if applicable, owners and lessors of premises used for the event.

I understand that some camp activities inherently involve the risk of injuries such as fractures, paralysis, or death. I acknowledge these risks and consent to my child's participation.
I have read and agree to the above Informed Consent and Acknowledgement. By initialing below, I acknowledge that I understand the content and grant my consent for the named camper.*
SPJST Rules of Conduct for Youth Activities

SPJST maintains a reputation for integrity and fairness, providing the best protection for our members and their families. The SPJST Rules of Conduct are designed to guide your actions during youth activities. Violations may lead to disciplinary action, dismissal, and prosecution.

Rules of Conduct
1. Leaving SPJST activities without proper authorization.
2. Hazing.
3. Abusing property or equipment.
4. Selling, giving, possessing, or using alcohol, tobacco products, illegal drugs, weapons, or fireworks.
5. Any malicious or deliberate intent to cause harm.
6. Stealing.
7. Engaging in inappropriate physical or sexual behavior.
8. Engaging in conduct constituting a felony.
9. Insubordination, disrespect, or use of profanity.
10. Disobeying rules in the camp guidebook.
11. Driving a car at Camp. (Keys will be turned in to the SPJST Director of Member Engagement upon arrival.)
12. Negligence of assigned duties. (LIT assignments)
Consequences for Violations
Punishment will be according to the severity of the violation. The Director of Member Engagement will determine proper punishment. Any decisions at the time of the violation will be final. Serious violations will be discussed with the youth’s parent or guardian.

Search and Seizure
SPJST reserves the right to inspect any youth’s belongings. Refusal to submit to inspection may result in dismissal.
Please initial. I have read and understand the above texts entitled "SPJST Rules of Conduct for Youth Activities," and by initialing below, I acknowledge that my child will govern themselves accordingly. *
Hermann Sons Life Camp Medical Waiver

Medical Staffing and Services: Our Medical Staff are comprised of registered nurses, licensed vocational nurses, emergency medical technicians, or emergency responders. They have emergency first aid certification or documentation. Health Managers are at Camp all week, 24 hours a day, to care for the campers and staff. They dispense OTC and prescription medication, treat minor illness and injury, and refer patients to appropriate physicians when necessary.

Parental Notification: A parent or guardian will be notified if a doctor or hospital visit is required, if the camper spends a night in the clinic or for any other medical reason deemed necessary by the Health Manager. In addition, a parent or guardian will be notified in the event of severe homesickness or for any other reason deemed necessary by the Camp Director.

Financial Responsibility: Any medical expenses incurred at Camp for an illness or injury pre-existing before Camp will be the responsibility of the parent or guardian. We cannot be responsible for information that is not disclosed to us. Any other medical bills will be discussed with the parent or guardian on an individual basis.

AUTHORIZATION FOR TREATMENT

Routine Health Care and Emergency Treatment: I hereby give permission for Hermann Sons Life Camp and medical personnel selected by the Camp to provide routine health care; to administer medication, including any over-the-counter medications Camp medical personnel deem necessary; to order tests, X-rays and treatment; to release any records necessary for reporting purposes; and to provide or arrange any necessary transportation for my child.

Emergency Contact and Treatment Authorization: In the event I cannot be reached in an emergency, I hereby give permission to the physician and health care facility selected by the Camp to secure and administer treatment, including hospitalization, for the person named in this document.

Health Information Accuracy and Activity Permission: I also attest that all information included in this form is correct and accurately reflects the health status of the camper to whom it pertains, so far as I know, and the person described has permission to engage in all Camp activities unless otherwise noted.

Information Sharing and Consent to Photocopy: I understand the information on this form will be shared on a “need to know” basis with Camp staff. I give permission to photocopy this form.
I acknowledge this agreement on my behalf and, to the fullest extent permitted by law, on behalf of my minor child(ren) attending Hermann Sons Life Camp. Any disputes arising under this waiver shall be resolved through mediation, which will take place exclusively in Kendall County, Texas, and will be governed by the laws of the State of Texas.*
Through registration, I give Hermann Sons Life and SPJST full rights and permission with respect to any photographs, video, and audio recordings taken throughout the duration of these programs. These images may be used for publicity (newspaper, website, brochures, commercials, social media, etc.). I further give permission and consent that any such photographs may be published and used by Hermann Sons Life, SPJST, and the American Camp Association® and its agents.*
Camp Fees and Payment Information
Registration Fee (Due at Registration)
A non-refundable registration fee is required to reserve your camper’s spot. An invoice for the remaining balance will be emailed after registration.

Final Payment Deadline:
All remaining camp fees must be paid by June 1, 2026, to keep your camper’s spot.
Fee Structure
Non-Member - $875

• $50 registration fee
• $825 remaining balance due by June 1, 2026

Non-Active Youth Member - $775
(Youth with an SPJST certificate who are not active in youth club activities)

• $50 registration fee
• $725 remaining balance due by June 1, 2026

Active Youth Member - as low as $25 with Youth Activity Credits and Raffle Ticket Credits (see below)
(Youth actively participating in an SPJST youth club)

• $25 registration fee
• $225 remaining balance due by June 1, 2026
Ways to Reduce Camp Fees (SPJST Youth Members Only)
Youth Activity Credits (Active Members)
Active youth members can earn credits by participating in SPJST youth activities.

• Each activity earns a $75 credit
• Up to 7 credits ($525 total) may be earned
• The Home Office will invoice for any remaining balance after credits are applied

Raffle Ticket Credits (Active and Non-Active Members)
Youth members may also reduce their camp fee by selling raffle tickets.

• Each ticket sold = $10 credit toward camp fees
• Registration fees cannot be reduced
• Contact Frank Horak at 254-534-0681 for raffle tickets
Important Information
Invoices
Invoices will be emailed after registration.
If you do not receive your invoice, contact Tammy at the Home Office:
tammym@spjst.com

Refund Policy
Camp fees (excluding the registration fee) are refundable until May 15, 2026.
No refunds will be issued after May 15.
Please choose one of the following payment options: Camp Registration Fee only (balance invoiced later) or Full Camp Tuition (includes registration fee):
prevnext( X )
Active Youth Member - Camp Registration Fee Discounted non-refundable fee for youth actively participating in an SPJST youth group.
$25.00



Non-Active Youth Member - Camp Registration FeeA non-refundable registration fee for youth with an SPJST policy who are not actively participating in youth group activities.
$50.00



Non-Member - Camp Registration FeeA non-refundable registration fee. Non-members will be invoiced for the remaining balance of $825, due by June 1, 2026.
$50.00



Non-Member - Full Camp TuitionIncludes a $50 non-refundable registration fee.
$875.00



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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2026 SPJST Summer Camp Registration

Youth Camper's Information

Parent/Guardian Information

Emergency Contacts

Youth Camper Drive-Through Check-Out Contact on July 2 between 9 and 11 a.m.

Physician/Health Insurance

Youth Camper's Medical Information

Consent and Release Forms

Camp Fees and Payment Information