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Camp Registration Form
August 9-12, 2026
Kamp Kenwood in Chippewa Falls, WI
Ages 7-11

New this year! To make things easier, we’ve combined our registration and medical forms into one. You’ll now be able to take care of everything at once! Please set aside a few extra minutes to complete the full form, as all information is required at the time of submission.
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Camper first name *
Camper last name *
Camper birthdate *
Camper must be between the ages of 7-11 on August 9th, 2026
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Gender *
Camper address *
Street Address, City, State, Zip Code
Parent/Guardian Name *
Parent/Guardian Phone Number *
Please enter phone number in format 123-456-7890
Parent/Guardian Email *
Will be used to send communication regarding camp (e.g. registration confirmation, requesting a completed medical form, etc.)
Emergency Contact Name *
Alternate contact in case of emergency and GKBC staff are unable to reach parent/guardian.
Emergency Contact Phone Number *
Alternate phone number in case of emergency and GKBC staff are unable to reach parent/guardian.
Camper's T-shirt Size *
Dietary restrictions *
Allergies will be collected on our medical form after registration has been accepted.
Required
Closed Camp Policy *
I understand and agree that if my camper needs to leave during camp, examples of this include sports or another youth group activity, they won't be able to return. This is for the safety of the campers and staff. Any exceptions must be approved before the first day of camp.
Required
Cabin Requests
Please indicate here if there is another camper(s) your camper has a preference to be in a cabin with. We will do our best to accommodate but cannot guarantee being in the same cabin.
Notes/Comments
Use this section to provide any information you think will be helpful for us to know about your camper. 
Photograph Release (For promotional materials.) *
I am the parent or legal guardian of the camper/minor named above and I do hereby give God’s Kids Bible Camp and Messiah Lutheran Church irrevocable right to use the minor’s photograph in all forms and media and in all manners for advertising or any other lawful purposes. I waive any right to inspect or approve the finished version(s), including written copy that may be created and appear in connection therewith.
How did you hear about camp? *
Required
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