Franklin Baptist Association 2024 Camper Registration

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Deadline for camper registrations is June 16.

Please read camp parent/camper letter and rules before registering

Camp fees must be submitted to sponsoring church by June 16

Church submits all fees to FBA office by June 26

Email *

Please choose which camp you will be attending *

Boys (Completed Grades 3-6, Ages 9-12) : July 8--12

Girls (Completed Grades 3-6, Ages 9-12): July 15-19

Youth Camp ( Completed Grades 7-12, Ages 13-18): July 21-24

Day Camp (Completed Grades 1-3) : July 29- Aug. 1

Camper's First Name *

Camper's Last Name
*

Birth Gender *

Male

Female

Date of Birth *

YYYY

Grade Completed *

Sponsoring FBA Church Name *

If selected Other above, print church name here

Parent(s) / Guardian *

Parent(s)/Guardian Email Address *

Home Phone *

Cell Phone *

Street Address *

City *

State *

Zip *

Emergency Contact Name *

Relationship to Camper *

Emergency Contact Phone Number *

Alternate Emergency Contact Name *

Alternate Emergency Contact Phone Number *

T-Shirt Size *

Youth Small 6-8

Youth Medium 10-12

Youth Large 14-16

Adult Small

Adult Medium

Adult Large

Adult XL

Adult XXL

Other (specify)

Permission to Participate in the follow (Check all that apply) *

Canoeing

Swimming

Zipline

Required

Other restrictions : Please List

Medical Information (To be supplied by Parent or Guardian)

Note: ALL MEDICINE must be in original container(s) with complete instructions and MUST be turned in to Camp Nurse during registration/check-in. DO NOT SEND Ibuprofen or Tylenol - these are provided.

May Tylenol or Ibuprofen be given by the nurse on an "as needed basis?
*

Yes

Insurance Company
*

Policy/ID#
*

The child's physician which is to be notified
*

City/Phone#
*

List any special medical problems or allergies
*

List medicines, medicine times and any medical instructions *

Dietary Needs

IMPORTANT: Please list all food allergies, dietary needs and any information we may need.

Camp Rules

Please click the following camp rules link to see/read rules before proceeding: https://franklinbaptistassociation.org/files/CampParentsLetter2024.pdf

PARENT'S CONSENT/WAIVER: please carefully read the following and sign below:

I, the undersigned parent(s) or guardian(s) of the above-mentioned minor child, have read and consent to the camp rules, and do hereby give consent for ANY emergency care deemed necessary by Franklin Baptist Association Camp leaders and/or the medical facility(ies) to which is taken. I/We further agree to release Franklin Baptist Association and its representatives from liability for any injury or mishap which may occur at camp, including any accident which may occur during transportation to or from camp. I/We also give consent for pictures and videos of registrant to be used for limited camp publicity.

PARENT OR GUARDIAN SIGNATURE:
*

Digitally printed name is authorized

A copy of your responses will be emailed to the address you provided.

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