Camp
Registration

Child's Name (required)

Gender
BoyGirl

Age

Address (required)

City, State, Zip (required)

Parent/Guardian Name (required)

Your Email

Phone (required)

Emergency Contact Name (required)

Emergency Contact Phone (required)

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

Any allergies?
YesNo

Provide allergy details and any other medical conditions

Please note:
*Camper must be transported to and from camp by an adult. MUST have valid I.D.
*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 or illness 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.

Date: