Camp Evangel Registration

Child #1 Campers 1st & last name

Age

Can We apply Sunscreen & bug spray?

Allergies/ Special Accommodations

Child #2 Campers 1st & last name

Age

Can We apply Sunscreen & bug spray?

Allergies/ Special Accommodations

Child #3 Campers 1st & last name

Age

Can We apply Sunscreen & bug spray?

Allergies/ Special Accommodations

Parent /Guardian's Name

Cell #

Emergency Contact (different from Above)

Cell #

I grant permission for my child(ren) to participate in all Camp Evangel activities on August 4th. In the event of illness or accident, I give permission for minor first aid to be administered by camp volunteers. If I cannot be contacted and my child(ren) should require emergency hospital treatment, I authorize an adult leader to sign on my behalf any written form of consent required by the hospital. However, I understand that every effort will be made to contact me as soon as possible.

Parent/Guardian name for permission

Number of family members joining us for supper (include campers in total)

Preschool children must be accompanied during camp be a parent, guardian or high school mentor.