Canyon Church Camp
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    Youth Registration Form

    Contact Information

    If you are unable to pick-up your child on the last day of camp, please provide:

    Camper Medical Information

    Tell Us About Your Child: It is with sincere interest we would like to obtain as much information about your child as possible, so that our staff can provide the absolute best experience of attending camp.  All information is kept confidential, and is only used to provide Heath Care and to help our Directors to ensure a safe, comfortable, and fun time for all our campers.  If you prefer to speak directly with our Camp Medic or Directors, please feel free to do so at the time of drop off, or contact the registrar, and she will direct you to them through email or phone number.  The more information our Medic and Directors have, the more we can do to ensure your child enjoy themselves.  

    Medications and Allergies:  Must be given to Camp Medic on arrival.  Medications must be labeled with the name of the medication and dosage regimen.  A separate form will be completed at time of drop off listing medications and instructions, in case of any possible allergic reactions at Camp.

    ​CCC strives to be a Peanut Free Facility, and do not intentionally have peanuts at camp.

    Canyon Church Camp Authorization and Consent

    Dependent Registration:  The child named herein has permission to engage in all prescribed camp activities, except as noted above, and I agree that he/she will be subject to the rules and regulations of Canyon Church Camp.  In the event I cannot be reached in a Medical Emergency, I hereby give permission that medical treatment will be obtained.  I agree to pay any charges not covered by my Medical Plan, ie. medications, ambulance, etc.  I hereby waive all claims against the Canyon Church Camp Association, and is representatives, for any accident or injury that may occur to the child named above in connection with the events for which application to attend has been made.

    I consent that images may be used for camp promotion unless written objection is provided to the Registrar.
    Please note: Placement of camp cannot be confirmed until payment is recieved.
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