King's Camp: Basketball Week
Come strengthen your basketball skills while playing in a competitive zone that focuses on hard work, dedication, and determination in reaching your goals. The week ends with a tournament and picnic.

Dates: June 15 - 19

Hours : 9:00 - 12:00 pm

Campers are grades K-8

Price: $50 per camper

Aftercare is also available is each for $20 per child. Hours available are 12:00 pm - 6:00 pm. Sign Up for these hours at the end of the form.
Email address *
Name of Child *
Your answer
Age of Child *
Your answer
Child's grade that he/she will be going into next year *
Child's Current Home Address *
Your answer
Emergency Contact's Name *
Your answer
Emergency Contact's Address
Your answer
Primary Guardian's Phone Number (able to be reached at any time) *
Your answer
Secondary Contact's Name *
Your answer
Secondary Contact's Home Address *
Your answer
Secondary Contact's Phone Number *
Your answer
List any names and phones numbers of those individuals who have legal consent to drop off and pick up your child each day. *
Your answer
In case of serious accident or illness at King's Camp, someone trained in first response will call the paramedics. This may result in your child being sent to the nearest hospital if further medical treatment is recommended. Parents or legal guardians will assume full financial responsibility for ambulance and medical expenses incurred on behalf of your child for such treatment. Do you fully understand this policy and hereby give my permission to any trained Kings Camp employee to look after the wellbeing of my child and administer any medication that they may need. *
Required
Physician's Name *
Your answer
Physician's Phone number *
Your answer
Does your child have any physical restrictions? *
If yes, please give us detail on their restrictions so that we can best plan for this during camp hours. *
Your answer
Does your child have any dietary restrictions/allergies? *
If yes, please give us detail on their restrictions or allergies so that we can best plan for this during camp hours. *
Your answer
Does your child require any daily medications? *
If yes, please dictate the name of the medication, dosage, time administered, start date, end date , and any possible side effects. *
Your answer
I understand that registering my child means that they should be in attendance for the whole week, not just select days. *
Required
I understand the registration fee for this camp is $50 per child. *
Required
Registration fees are due prior to or the Monday (start day) of the camp. If payment is not received, then they will not be able to attend. *
Required
I understand that my child will be provided a snack at camp, but lunch WILL NOT be provided since the camp ends at noon
I understand that if I pay with a check and it bounces, then a $35 fee will be added to my bill. *
Required
I give my child permission to participate in all activities of the camp. *
Required
I give King's Camp permission to take photos of my child for King's Camp promotional purposes (e.g. our website and Facebook) *
I give King's Camp staff permission to use disciplinary procedures if my child displays inappropriate or bad behavior. The handbook detailing our discipline policies will be sent via email before the start of camp. *
Required
King’s Camp is operated as a non-profit institution by King of Kings Lutheran Church and School and is staffed by those whose aim is to benefit the child. If an issue were to arise, I understand that I must talk with the staff first. *
Required
Which days will my child need aftercare? Check all that will apply and this will be added to your total. *
Required
By signing my name below, I am agreeing that I have read through all statements thoroughly, that I am in agreement with all fees, and that I authorize all activities at King's Camp. *
Your answer
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