Registration — KIng's Campers

Camper Registration Form

Online Registration

Sign your child up for camp by filling out your information. You can also download the form below.

Camper's Name

First Name

Last Name

Age

Gender

Birthdate

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Phone 2

(###)

###

####

Emergency Contact Phone #

(###)

###

####

Does the child take medication?

Yes

Medication (write N/A if doesn't apply)

If yes, please write written instructions below and clarify administering medication prior to leaving for camp. All medication should be turned in to designated camp staff. (If applicable) List type(s) of medication and instructions:

Approval

I approve my child’s attendance at Refreshing Mountain Camp with King’s Campers Ministry. I permit King’s Campers and the officials of the camp to act in emergency and the best interest of the health and safety of my child. I grant King's Campers permission to take and use photo, video and/or audio record of my child(ren) for promotion & ministry without recourse or compensation.

Yes, I approve

Parent's/Guardian's Name

First Name

Last Name

Date

YYYY

Please add your: Medical Insurance Provider, Policy Number, Doctor's name, and Phone Number

T shirt size

King's Campers Registration card

Please complete the entire form to register your child for camp

Download form