We are so excited for this year's church camp! Please fill out the information below. The last day to register is May 21st. The last day to order a t-shirt is May 21st. We can't wait to see everyone and what God has in store for this year! Ages for camp are 10-18 years old.
Enter your child's info below.
Does the camper have any allergies and/or medical conditions?
Does the camper take any medications?
AUTHORIZATION FOR TREATMENT
This health history is correct to the best of my knowledge, and the person herein named has permission to engage in all camp activities except as noted. I hereby give permission and authorize the medical provider selected by the Camp Director to secure or administer emergency medical treatment, including medical transportation and hospitalization and any other emergency medical procedures and services which may be needed for the person named herein. It is understood that this consent is given in advance of any specific diagnosis or treatment being required, and is given to encourage those persons who have temporary custody of the minor, and said medical provider or dentist to exercise their best judgment as to the requirements of such diagnosis or medical, dental or surgical treatment. In addition, I authorize camper to carry emergency medications and use as directed.
I agree to remain fully liable and responsible for the payment of any such hospital, doctor, medical transportation, dental or medical fees. I further agree that in giving this permission and authorization, Circle of Faith Ministries does not assume any responsibility or liability for the payment of such hospital, doctor, medical transportation, dental or other medical fees which may be incurred. The completed forms may be photocopied and maintained by authorized personnel as needed including trips out of camp.
COVID Release form and Authorization (click here for camp Covid guidelines)
I acknowledge that Circle of Faith Ministries Church camp is taking reasonable measures to prevent the transmission of COVID-19 consistent with applicable public health guidelines. I also acknowledge and recognize that it is impossible to ensure that the campus is 100% free of COVID-19 and that being on campus, as well as participating in the Event, contain inherent risks that cannot be eliminated regardless of the care taken to avoid the spread of COVID-19. I acknowledge, understand, and appreciate these and other risks are inherent in participating in the Event.
By this authorization, I indemnify, release and hold Circle of Faith Ministries harmless from any and all liability in providing treatment to Participant, and further, I grant my permission regarding the use of the above information
AUTHORIZATION FOR OVER-THE-COUNTER MEDICATIONS
In the event your child experiences minor discomforts during camp, we would like the opportunity to make your child as comfortable as possible. Therefore, below is a list of over-the-counter medications that can be administered by Circle of Faith Ministries personnel with your authorization. These medications are approved by the Circle of Faith Ministries Medical Director using the recommended doses from the manufacturers. The below approved medications are intended for occasional use only. I consent to the administration of the below indicated over-the-counter medications which will be available, at no charge, for all campers. Please make available the following medications to my child (check all that apply). If they are NOT checked they WILL NOT be given to the camper.
Acetaminophen (generic for Tylenol)
Antibiotic Cream (for minor cuts/scrapes)
Calamine Lotion (for itching)
Ibuprofen (generic for Advil & Motrin)
I do not want over-the-counter medications given to my child
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