CAMP FELLOWSHIP
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Camper Registration Form
Camper Registrations Due by June 1st
After June 1st there will be a $20.00 late fee **Dependent on Availability**

Please let us know prior to registration deadline if special arrangements are needed.
​We will do our best to accommodate your situation. We look forward to seeing you at camp!
If you have any questions, please contact us.
Camp Directors
Christine Madsen           Shaun McIntire
(801) 363-8877             (801) 243-7071
​campfellowship@mail.com
Please fill out all the information below to register your camper. Please DO NOT use a mobile device (phone or iPad) to fill this out, use a computer.

    Camper Information


    Parents / Guardians


    Emergency Contact (other than you)

    Drop Off / Pickup

    Medical

    Complete and SUBMIT the following form in its entirety.
    Please feel free to contact our medical staff at any time to discuss these and any other concerns. Thank You!
    Diane Forster-Burke RN
    Phone: (801) 832-2163
    email: cburke_5@msn.com

    Please call or email if you have any questions regarding this section
    Give dates of last incident of any conditions below, if applicable. If not, leave blank.

    Immunizations

    *Date Required
    *Date Required
    *Date Required
    *Date Required


    Any medication, including over the counter, must be in a properly labeled prescription container and must be turned into the camp nurse at registration.

    * IMPORTANT * 
    In case of a medical emergency, I understand every effort will be made to contact the camper’s parent or guardian and physician. In the event they can not be reached, I hereby give my permission to the physician or medical facility selected by the camp staff to hospitalize, treat, and order medication or surgery, as needed, for my child named above.

    If you would like to bring a copy of your child's insurance information to camp, you may.

    As per EMS protocol, all children 17 & under will be taken to the nearest appropriate facility.

    Zero Tolerance & Signature

    ​ZERO TOLERANCE POLICY
    Parents, it is very important to us that you take the time to discuss the following with your child/children.

    Camp Fellowship has a Zero Tolerance Policy for drugs, alcohol, tobacco and weapons. Any camper who is found to have brought any items to Camp Fellowship that are banned or illegal, or is found participating in any illegal activity while at Camp Fellowship, will be required to leave camp.

    Bullying, sexual harassment and inappropriate language will not tolerated.

    In the event that a problem of this nature occurs, we will call you, the parent/guardian, and ask you to promptly pick your camper up from camp. Please take this opportunity to seriously discuss these issues with your camper/s to insure an exceptional camp experience for all involved.

    Please be advised that campers who bring something from the "What NOT to bring" list will have item/s held in safekeeping until the end of camp. This helps us provide the optimal camping experience for your camper/s.

    ​Please sign below that you have read, understand and discussed the above information with your camper/s. Thank you for helping us to make Camp Fellowship a safe and enjoyable place for Campers and Staff alike.
    Sign below
    Clear Undo
    Clear Undo

Submit
​If you see a 'Please correct the highlighted fields' message after pressing the 'Submit' button, look for red rings around the field(s) to see which field(s) are missing data. Also remember to check the (2) agree boxes.
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