Church Camp 2025

Camper Registration and Emergency Contact Information

* Indicates required field

Camper Name *

First

Last

DOB *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Male/Female *

Male Female

T-Shirt Size *

Camper's Most recent grade completed *

Emergency Contact #1 *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact #2 *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Camper Medical Information

Camper's Physician *

Phone Number *

Medications currently taking *

Instructions for medications *

Can your child take over the counter medication? *

Yes No

Known Allergies *

Special Needs/Instructions *

Fellowship Baptist Church Camp Medical & Liability Release Statement
*I understand that in the event medical intervention is needed, every attempt will be made to contact immediately the persons listed on the registration form. In the event I cannot be reached in an emergency, I hereby give my permission to the physician or dentist selected by the camp director or ministry director to hospitalize, to secure medical treatment and/or to order an injection, anesthesia, or surgery for my child as deemed necessary.
*I understand that my insurance coverage for my child will be used as primary coverage in the event medical intervention is needed. Coverage by Camp Fairview and/or Fellowship Baptist Church through its accident policy will be used as a back up for what my family's insurance does not cover.
*I understand all reasonable safety precautions will be taken at all times by Camp Fairview and/or Fellowship Baptist Church and its agents during the events and activities. I understand the possibility of unforeseen hazards and know the inherent risk. I agree not to hold Camp Fairview and/or Fellowship Baptist Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject on this form.
*I understand that Camp Fairview and/or Fellowship Baptist Church reserves the right to discipline or dismiss my child from camp with forfeiture of fees if he/she is non-cooperative or noncompliant.
*I further agree to indemnify and hold Camp Fairview and/or Fellowship Baptist Church harmless against any and all costs, damages, and expenses which may be incurred by them as a result of any claim I may make, actions I take against the camp, or lawsuits I may file against them.
*I give permission for my child's picture to be used in future camp publications, promotional videos and/or on the internet.
*I agree to the above Parent Medical and Liability Release Statement.

Have you read and do you agree to above Medical and Liability Release *

Yes No

Parent/Guardian Name *

First

Last

Date *

Submit

Worker/Counsellor Registration

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Gender *

Male Female

T-Shirt Size *

Email *

Allergies *

Phone Number *

Submit

Camp Fairview
Teen Camp - 7th-12th Grade
Junior Camp - 10 yrs-6th Grade
Cost - $155/person
*Workers/Counsellors scroll down and fill out second form

Camper Registration and Emergency Contact Information

Camper Medical Information

Worker/Counsellor Registration

Loving Christ, Changing Lives

Camp FairviewTeen Camp - 7th-12th GradeJunior Camp - 10 yrs-6th GradeCost - $155/person*Workers/Counsellors scroll down and fill out second form

Camper Registration and Emergency Contact Information

Camper Medical Information

Worker/Counsellor Registration

Loving Christ, Changing Lives

Camp Fairview
Teen Camp - 7th-12th Grade
Junior Camp - 10 yrs-6th Grade
Cost - $155/person
*Workers/Counsellors scroll down and fill out second form