theCAMP 2019 is June 17th-21st, 9:00AM-1:00PM for ages 4-completed 5th grade.

Important camper information:

  • Breakfast and lunch will be provided each day.

  • If your child takes behavioral related medications, please continue these at home before theCAMP.

  • 4-5 year olds will only be dismissed to a parent or guardian.

  • Your child may be photographed making fun memories during theCAMP for a closing slideshow and possible PR.

  • For information about the program for completed 6th graders contact Ashley Barnett (


Priority will be given to children of our volunteers, residents of Young Terrace and Tidewater Park, and children of participating churches. THE CHILDREN OF HOST CHURCHES CAN BE REGISTERED FOR THE ENTIRE WEEK IF THEIR PARENT OR GUARDIAN IS VOLUNTEERING AT LEAST 3 OF THE 5 DAYS OF CAMP. If the parent or guardian is volunteering less than 3 days, the child may come to theCAMP during the day/time for which their parent or guardian is volunteering.

General Information
Camper's Name *
Camper's Name
Parent or Guardian's Name *
Parent or Guardian's Name
Parent/Guardian Address *
Parent/Guardian Address
Parent/Guardian Phone *
Parent/Guardian Phone
Is the parent or guardian volunteering 3 or more days during theCAMP? *
If the parent or guardian is volunteering less than 3 days, the child may come to camp the during day/time they are volunteering.
Camper's Date of Birth *
Camper's Date of Birth
Registration for children 3 and under can be found as part of the volunteer registration page
Please choose one
How did you hear about theCAMP?
(if applicable)
(Please provide the name, relation, & phone number of an individual other than parent/guardian listed above)
Does your child have any special needs?
Camper T-Shirt Size *
I understand that my child's SPOT MAY BE TAKEN if he or she does not check in the first or second day of theCAMP (June 17 & 18). I have read the entirety of this form and I give permission for my child to attend theCAMP. *
(Provide the name and relation to the camper)