2018 West Tennessee Presbytery Camp Registration Form
All campers must be pre-registered two weeks prior to the start of their chosen camp. Fee is $220 per camper. Any pre-registrations received after that date will be expected to pay an additional $25.00 late fee. Camp sign-in is from 1:00 - 2:30 PM on that Monday.

This form can be submitted online OR printed and mailed to: WTP Camps PO Box 626, Union City, TN 38281

If you have any questions, please forward them to adamsj@alamoschool.org

Camper First Name *
Your answer
Camper Last Name *
Your answer
Please select which Camp you wish to attend: *
Required
Gender *
Date of Birth *
MM
/
DD
/
YYYY
T-Shirt Size *
for reference only, no guarantee t-shirts will be provided
Name One Person with Whom You Want to Share a Cabin
Your answer
Name of Parent or Guardian *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Church Attending/Visiting *
Your answer
Email Address *
for registration confirmation
Your answer
Grade Completed *
Who will pick up camper at the end of camp? *
Your answer
Who else is allowed to pick up camper ?
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Please list any important medical information/allergies *
If none, type n/a
Your answer
OTC Medicines
You can give permission for your child to receive the following medication by checking as indicated
Please list any medications taken to control an illness or allergy *
If none, type n/a ; All medicines must be sent in original containers
Your answer
Camper's Personal Physician *
Physician's Name
Your answer
Physician's Phone Number *
Your answer
Insurance Information *
Carrier or Plan Name
Your answer
Insurance ID# *
Your answer
Group No *
Your answer
Name of Insured *
Your answer
Payment Options
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