🌍 TO THE ENDS OF THE EARTH                  Children’s Christian Day Camp

📖 “You will receive power when the Holy Spirit comes on you; and you will be my witnesses… to the ends of the earth. Acts 1:8

📅 Camp Dates: June 3 – June 6, 2026

📍 Location: 1769 Lewisburg Pike, Franklin, TN 37064

⏰ Camp Hours: 8:30 AM – 7:00 PM

Please bring:

• Water bottle

• Bible (if available)

• Comfortable clothes for outdoor activities

• Hat or sunscreen

• Bugs spray

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Child’s Full Name *
Date of Birth
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Age
Grade Completed in School
Parent / Guardian Name *
Phone Number *
Email Address
Home Address
Emergency Contact Name *
Relationship to Child
Emergency Contact Phone Number *
T-shirt size *
Does your child have allergies? (If yes, describe it in the "Other" section) *
Does your child have any medical conditions we should know about? (If yes, explain in the "Other" section) *
Is your child currently taking medication? (If yes, explain in the "Other" section) *
Who is authorized to pick up your child from camp?
Please list full names. *
Do you allow photos or videos of your child taken during camp activities to be used for church communication (website, social media, presentations)? *
Children participating in camp are expected to respect leaders and other children and participate safely in all activities.

If a child repeatedly behaves in a way that may endanger themselves or others, parents may be contacted and asked to pick up their child. *
Required

Participation in camp activities may involve physical activities such as games, outdoor play, crafts, and group activities that carry a risk of injury.

By registering my child for this camp, I acknowledge these risks and voluntarily allow my child to participate.

I release and hold harmless the church, camp organizers, staff, and volunteers from liability for injuries or accidents that may occur during camp activities, except in cases of gross negligence. *
Required
In case of illness or injury, I authorize camp staff or volunteers to obtain medical treatment for my child if I cannot be reached. *
Parent / Guardian Full Name
Date
MM
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YYYY
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