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Individual Registration

Please enter information in the form below to process registration for Teen Camp 2018.

All registrations must be approved by regional teen leaders.

Support Counselor

In some cases, campers with special needs (physical, mental, emotional or other) may require more attention than our standard counselor/camper ratio can provide. If your child may require additional attention like a shadow or one-on-one counselor, please indicate yes here and we will contact you for additional information."

Parent/Guardian Information

Health/Medical Information

The following health information is for emergency use only and will be kept in confidence.

Medications

Please list any medications that need to be taken during camp. If N/A, please leave blank.
The following over-the-counter drugs will be stocked at camp: Benadryl (for allergic reactions), Maalox (for upset stomach), Tylenol, Advil, Neosporin (for skin irritations). List any medications you DO NOT want your child to receive.

Medical Insurance Information

Medical Consent

Should it be necessary for my child to receive medical attention, I hereby give permission for the person(s) leading or directing any activity to use their best judgment in obtaining medical attention/treatment for my son/daughter.
I further give permission to the medical staff to render medical attention or administer treatment as they deem appropriate and necessary.
I also give permission for the person(s) leading or directing any activity to use their best judgment to otherwise render any assistance (including first aid, CPR, Etc.) to my child in the event of injury or illness.

Teen Camp Liability Waiver & Release

Click the appropriate link below to complete the liability waiver & release. Once you've signed to waiver, you will receive an email to confirm it was you who signed the form. A parent/legal guardian (or the camper/volunteer if over 18) must sign and confirm to complete the registration.

If the registrant will be UNDER 18 on June 26th CLICK HERE.

If the registrant will be 18 OR OVER on June 26th CLICK HERE.

Payment Information

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Credit Card
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