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2024 Junior Week

June 23-28 for Campers entering grades 4-6

Contact Information

Please let us know if camper has a nickname (ie: Elijah goes by Eli)

Please format MM/DD/YYYY

only if have home phone

*New for 2024: Please note free T-shirts are only available for campers registering before April 30th


Information on who the camper RESIDES with

Please list only information for the people whom the camper lives with. Other parents who the camper does not live with can be listed under the alternate emergency contact.

Please list name and phone number

Liability Release: I release Camp Christian, including it's directors, employees and agents from my child's physical injury, including death, or illness while at camp, including Camp Christian sponsored travel to and from camp.  I will assume the risks associated therewith, whether known or unknown to me at this time.  This release is also intended to include all claims of my family, estate, heirs, personal representatives or assigns.

Off Camp Release: My child has permission to be transported for medical care or to participate in programs conducted off the Camp Christian grounds.  It is understood that off ground programs are supervised by qualified camp faculty.

Publicity Release: I give permission to Camp Christian staff or the assigns to use photos, videos & audio recordings in promotional materials and/or post them on the camp's website or social media.

General: I recognize that this is a Christian camp, the Bible will be studied, and camper conduct and dress is expected to be in line with Christian values.  I understand that my camper is expected to attend all sessions and activities.  I also understand that if my child refuses to conduct himself/herself in this manner, I may be required to pick up my camper.

By typing my name above, I acknowledge that I have read and agree to the above agreements.

Does your child have any of the following?

Please list any information that would help our faculty connect with your child. Special needs, dietary restrictions, social/emotional needs, if your child receives educational or behavioral supports at school, etc.

Is camper taking medication, vitamins, herbs, supplements, OTC Allergy Medicine etc.

MEDICATIONS:  Please list all medications (Prescription/Over-the-counter/Vitamins/Herbs) below.  ALL medication must be in the ORIGINAL CONTAINER and will be left with and dispensed by the Health Supervisor.  Medicines must be kept in the original packaging/bottle that identifies the prescribing physician, name of medicine, dosage & frequency. Do not bring prescription medicine in a generic M-S container, plastic bags, or any container that is not from the pharmacy. NO medicines, vitamins, herbs, melatonin, etc are permitted to be kept in the dorms with your child with the exception of Inhalers and Epi Pens. The Health Supervisor must be advised of any Inhalers and Epi Pens being kept by campers.

PLEASE ADVISE:   If your child will be taking any over the counter: allergy medicine, supplements, vitamins, herbs, (INCLUDING MELATONIN) etc...while at camp, you MUST bring a doctor's note. Please understand, we can not give these any other way.

We understand that medications may change and will update this at check-in.

Health Center Medications

These medications are stocked at Camp Christian. Please indicate your permission to administer these over-the-counter medications, or if you wish to be notified first. (Some meds are listed as common brand names, though generic may be substituted.)

To the best of my knowledge, my child is physically and emotionally able to take part in the camp program.  In the event of a medical emergency, I give my permission to those in charge at Camp Christian to seek necessary medical attention from qualified personnel (Nurse, Physician, EMT or other Medical Professionals) to do what is necessary for the health and well-being of my child.  I give my permission for emergency medical care to be administered if necessary, understanding that every effort will be made to contact me.

By typing my name above, I certify that I have read and agree to the above statements.


Please choose the amount you wish to pay toward camper fees and mission money. You may choose to pay an amount other than shown by clicking on the empty box. You must at least pay the deposit amount.
Please Note:

Deposits are nonrefundable.  If your camper is unable to attend, we will refund your payment amount minus the deposit required. Please contact the camp office if you have any questions.





If you would like to add a Mission donation today, please add it in here. You may also donate to our Summer Mission at check in.

Please indicate the amount you would like to contribute toward our summer mission