Voyage of Kids Camp - Vineyard Kids Camp Registration 2019
Welcome! We are so excited that you are choosing to come to camp with us this year! Vineyard Kids Camp is August 2nd-5th at Camp Cho-Yeh in Livingston. The cost is $285.00 per camper. Campers grade and age requirements are the following: At the time of camp, completed 1st-6th grades and/or 7-12 years old. T-shirts are optional and cost $10.00. A $50.00 deposit must be paid to your church to save your child a spot for camp. We only have 120 spots available, so to hold your spot you must pay your $50.00 deposit and complete this Registration Form. Registrations will be taken on a first come, first serve basis. This year this form is a little longer because it includes the nurse questionnaire. The only forms you will have to fill out by hand are the two waiver forms and medication form if your child has medication that is going to camp. Once you complete the registration form, your children's pastor/director will give you the Waiver and Medication forms. If you have any questions please contact your children's pastor/director. You can forward this registration form to your kids friends or other family members that might be interested in going. Thank You for sending your child to camp with us this summer!
Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Camper's Age in August *
Birthdate *
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Camper's Grade completed in June. *
Camper's Gender *
What size shirt does your Camper wear? (T-shirt is optional - $10.00 extra. Only select a size if purchasing a shirt).
Which Vineyard Church will you be coming with? *
Your answer
Camper's Parent's Name *
Your answer
Camper's Parent's Cell Number *
Your answer
Camper's Parent's Email *
Your answer
Are there any questions or concerns you might have?
Your answer
Camper's Height *
Your answer
Camper's Weight *
Your answer
Does your Camper have food allergies and if so what is it? *
Special Consideration/Diet?
Your answer
Any allergies, non food related?
Your answer
Has child been to camp before? *
Has child had any problem with homesickness? *
If Yes, how would you like us to handle it?
Your answer
Has your child suffered from dehydration before? *
Does your Camper take daily medication? *
Date of last tetanus shot? *
Your answer
Do you give permission to the nurse to give your child Tylenol for minor pain and/or fever? *
Do you give permission to the nurse to give your child Ibuprofen for minor pain and/or fever? *
Do you give permission to the nurse to give your child Benadryl for insect bites and/or poison ivy/oak? *
Do you give permission to the nurse to give your child Pepto Bismol for upset stomach? *
Do you give permission to the nurse to give your child Imodium for diarrhea? *
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