FOLLOWER REGISTRATION FORM——DMBA Youth Camp 2025
Dates: June 29th-July 3rd
Location:Schafer Baptist Camp
Address:152 Schafer Camp Rd. Hawesville,KY
COST:$190 per camper/chaperone
Each church will submit ONE check for the total number of people in their group made payable to the Daviess McLean Baptist Association.
Refer to the email for other details.
If you need a copy of the email, text Dustin Blair @ (270)903-5992

This is the official registration form for DMBA Youth Camp at Camp Schafer on June 29th - July 3rd, 2025. Please fill out this form completely and submit to reserve your spot for camp!
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Camper/Chaperone Full Name: *
Church You Are Coming With: *
Emergency Contact 1(Name/Relation): *
Emergency Contact 1(Phone Number): *
Emergency Contact 2(Name/Relation): *
Emergency Contact 2(Phone Number): *
Gender: *
Grade (in August 2025): *
What T-Shirt Size do you need? *
Required
Dietary restrictions: *
Any allergies or other information you think we need to know? *
Physician's Name: *
Physician's Contact Number: *
Name of Primary Insurance Policy Holder: *
Name of Insurance Provider: *
Insurance Policy Number:
**You will be required to send a copy of the insurance card with your chaperone. *
I give my authority and consent for any first aid treatment that may be required according to the judgment of the Schafer Baptist Camp Administration. In the case of an emergency, medical or surgical treatment can be given by physicians, nurses, and other medical personnel selected by Camp Director to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for the above named child. I understand that limited secondary accident and illness coverage is provided. Furthermore, I release the Daviess McLean Baptist Association, camp directors, camp pastors, camp counselors, and Camp Schafer staff from any liability or responsibility for accidents or incidents during camp. I understand I will be contacted in the case of an emergency according to the information I have provided. In the event that I cannot be reached in an emergency, camp personnel will contact the Emergency Contacts listed above.
 *
Required
I understand that my student or self may be photographed or video recorded at the camp and am giving consent for myself and/or my child to be included in photos, videos, and other publications in connection with the camp.
 *
Required
Please contact the leader of your church's group regarding the payment of the $190.00 camp fee. Each church is responsible for the collection of camp fees and must submit them to the DMBA office in the form of ONE check made out to the Daviess McLean Baptist Association either by mail or in person no later than June 26th.

Upon submission of this form, your registration for camp is complete pending the processing of your camp fees.

Keep an eye out for more info regarding camp on social media and in your church bulletin! See you soon!

REGISTRATION CLOSES AFTER JUNE 5TH, 2025. *
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