Register | Kingskids

2023 King's Kids Camp

Camper's Name

Gender

Age

Grade in Fall

Birthdate

Church Name

Parent #1

Parent #1 Phone

Parent #2

Parent #2 Phone

If possible, please place in a group with:

If someone other than a parent will be picking up the camper, list their name and phone #

Parent Agreements and Authorizations
- We recognize that campers must follow safety guidelines, remain in designated areas, and refrain from harmful behavior.
- If a camper is unable to live within these guidelines, they may be sent home without a refund of camp fees.
- Our child has permission to take part in all camp activities, under the Camp Staff's supervision.
- We agree to hold harmless King's Kids Camp and its affiliates for all injuries or damages.

By entering my name here, I acknowledge my consent to all of the above Parental Agreements and Authorizations

By entering my name here, I consent that my child's photo may be used for future King's Kids Camp promos.

Other Information: To help camp leaders make a significant contribution to the Christian growth and development of this camper, please give any information about the camper that you feel would be helpful.

A $25 registration deposit is required to reserve a spot at camp.
The total cost is $400 per camper if reserved by June 15. After June 16, the cost is $450 per camper.
Check with your home church about scholarship opportunities
- Send payment, payable to "King's Kids Camp", to:

Bethesda Church, King's Kids Camp, 85 Lemay Gardens Dr, St. Louis, MO 63125

The High Ropes course is an optional activity for campers in 6th grade and older. It costs an additional $30 to participate.

Cancellation policy: Full refund available with 30-day advanced notification sent to camp directors.

All Campers will recieve a free T-shirt.

Camper Health Information

Briefly describe any allergies, medical concerns, recent trauma, life changes or physical limitations the directors and staff should be aware of. (include additional details below)

Emergency Contacts if unable to reach parents:

Emergency Contact #1

Phone

Relationship #1 to camper

Emergency Contact #2

Phone

Relationship #2 to camper

List any limitations on Camp Activities, or other medical conditions that the camp staff should be aware of:

List any food allergies:

Please include a list of all prescription medications, and directions, that will accompany camper.

I declare that the info I've provided is accurate & complete.

Does the camp medical staff have your permission to dispense over-the-counter medications (e.g. ibuprofen, cough drops, Benadryl, etc)

Yes

The Health information provided on this form is correct as far as I know, and the above minor person has permission to engage in all prescribed camp activities except as noted. I hereby give permission to the medical personnel selected by the camp administration to order X-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for me/or my child. In the event that I cannot be reached in an emergency, I hereby give permission to the medical personnel selected by the camp administration to secure and administer treatment, including hospitalization, for the person named above.

By entering my name here, I acknowledge my consent to the above.

Enter name below

Thanks for submitting!