Church Camp Registration Form

A form for enrolling children and youth in the church camp, collecting medical details, emergency contacts, and parent or guardian consent.

Use this template

Page 1

Camper Name

Nombre

Apellido

Sex

Male Female

Current School Grade

Date of Birth

Age:

Health Card Number

Health Card Version Code

Family Doctor

Nombre

Apellido

Allergies or Other Medical Conditions:

For which days does the camper require before camp care?

For which days does the camper require after camp care?

Page 2

Parent/Guardian Name

Nombre

Apellido

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Home Phone Number

Business Phone Number

Cell Phone Number

E-mail

Do you have legal custody of the child who is being registered?

Yes No

Home Church (if applicable)

Emergency Contact Name

Nombre

Apellido

Emergency Contact Number

Page 3

I give permission for my child to participate in the church camp and confirm that the information above is accurate.

Parent/Guardian Name:

Nombre

Apellido

Date

Signature

Sign here

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Church Camp Registration Form

Page 1

Page 2

Page 3

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