Registration - Marshview Bible Camp

Camp

Day Camp Registration

Child's Name *

Address *

City *

State *

Zip *

Your Email *

Parent/Guardian Name *

Phone *

Emergency Contact Name *

Phone *

Gender *

Age *

Can your child swim in the deep end of the pool with no flotation devices? *

Yes

No

Any Allergies *

Yes

No

Provide Allergy Details *

Camper must be transported to and from camp by an adult.
If camper disobeys rules, parents will be notified and asked to pick up child from camp.
Camper will be expected to participate in all activities unless physically limited in some way.
Bathing suits should be one-piece suits that are appropriate for a Bible camp.
Campers with suits not considered appropriate by our director will not be allowed to swim

Check all that you agree to.

I have carefully read the information above and understand and agree with those things therein. I also give the child listed above permission to swim and participate in all activities and do not hold Marsh View Bible Camp liable for injuries sustained while at camp.

Yes, I give Marsh View Bible camp permission to use pictures of the child listed above in the following but not limited to Facebook Page, website, future applications, or slideshow.

No, I do not give Marsh View Bible camp permission to use pictures of the child listed above in the following but not limited to Facebook Page, website, future applications, or slideshow.

Parent/Guardian Digital Signature - By typing your name you agree to the guidelines and agree that the information provided is factual and accurate as far as you know. *

Overnight Adventure Registration

Child's Name *

Address *

City *

State *

Zip *

Gender *

Date of Birth *

Parent / Guardian Information

Parent / Guardian Name *

Phone *

Relationship to Camper *

Email *

Emergency Contact Name *

Phone *

Medical Details

Any Allergies *

Yes

No

Provide Allergy Details *

Any history of troubles with heart, lungs, ears, skin, tonsils, asthma, hernia, hey fever, sinus, appendix, epilepsy, convulsions or any other serious medial issue? *

Yes

No

Any illnesses or disorders that would limit the camper in any camp activities? *

Yes

No

Describe medical issues *

Is the camper bringing any medication to camp? *

Yes

No

List all medications *

Insurance Information

Insurance Company *

Phone *

Policy Number *

Guidelines and Consent

Check all that you agree to.

I hereby give my permission for the camp nurse and or medical personnel/hospital selected by the camp director to administer whatever treatment is necessary for the well-being of the above camper.

I, the parent/guardian, hereby agree to be responsible of the conduct of this camper while attending camp. I am aware and have made this camper aware of the camp guidelines.

Camp Guidelines

Camper must attend all meetings.
All prescription and non-prescription medications will be given to the camp nurse for safe keeping and dispensing during the camper’s stay.
Camper and Parent/Guardian will be responsible financially for any malicious damage done to the camp property.
Any violation of these camp rules or conduct that is disruptive to the camp program or others in attendance may result in the expulsion of the camper without refund.

Photo Release

During the week of camp we take some really great photos. We would love to have your permission to use the photos we take to post on our website, Facebook page, to use in next year's registration form, or to save on a CD to give out to each camper from that week.

Photo Release *

I give consent to the use of the photos of my camper.

I do not give consent to the use of the photos of my camper.

Signatures

Parent/Guardian Digital Signature - By typing your name you agree to the guidelines and agree that the information provided is factual and accurate as far as you know. *

Camper Digital Signature - By typing your name you agree to the guidelines and agree that the information provided is factual and accurate as far as you know. *

Payment

Teen and Junior week registration is $125 for the first child and $110 for each additional child.

If you are registering multiple children please pay by check.

Payment Method

Please make checks out to...

Marsh View Bible Camp
PO Box 344
Midway, GA 31320

You will be redirected to PayPal.

CampRegistration

Day Camp Registration

Overnight Adventure Registration

Parent / Guardian Information

Medical Details

Insurance Information

Guidelines and Consent

Camp Guidelines

Photo Release

Signatures

Payment

Camp
Registration