Children's Camp 2021 - Registration
Welcome to Children's Camp 2021... We are excited to have Children's Camp this year! We also understand that we have to take appropriate measures to ensure the safety of the participants and volunteers involved with Children's Camp. That means Children's Camp will look and feel different than in past years. For this year, our Children's Camp WILL ONLY be a Day Camp on Monday, July 19, Tuesday, July 20, and Wednesday, July 21 and will take place from 9:00 am - 11:30 am. Please note that Children's Camp WILL TAKE PLACE at the Family Life Center of Springfield UMC. NO activities for Children's Camp will be at the Campground...

Drop-Off and Pick-Up WILL take place at the Family Life Center of Springfield UMC

THERE IS NO COST FOR CHILDREN'S CAMP and is open to children who are rising 3rd - 6th Grade

We understand this is different and not the ideal situation. However, we want to provide a Children's Camp experience that is safe, meaningful, fun, and filled with memories. As a Children's Camp Staff, we appreciate your understanding and support of Children's Camp 2021. If you have any questions or concerns, please do not hesitate to contact Whit Myers, Children's Camp Director at 912-978-1500 or email


Please answer or fill in ALL information requested below
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Participant's Name *
Participant's Date of Birth *
Participant's Age *
Participant's Last Grade Completed *
Participant's Home Church *
Participant's Address *
Father's (Guardian #1) Name *
Father's (Guardian #1) Cell Phone *
Mother's (Guardian #2) Name *
Mother's (Guardian #2) Cell Phone *
Parent/Guardian Email Address *
Allergies/Medical Information/Other *
Insurance Company *
Policy/Group # *
Parental/Guardian Permission (Please Read Below)
In the event of an accident and I am unable to be reached, I grant permission to an adult staff member to seek and/or obtain medical assistance that may be necessary. The e-signature obtained below will serve as permission to treat or seek medical assistance for your child.
Parent/Guardian Signature *
Emergency Contact #1 (Name & Cell Phone Number) *
Emergency Contact #2 (Name & Cell Phone Number) *
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