Summer Camp Registration

Camp Session

Choose the Summer Session you would like to apply for below:

Select Session:
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Camper

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Gender
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Did your child read our brochure?
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Does your child agree to abide by the camp's guidelines?
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Camper Medical Information

Enter camper specific medical information below.

Does the camper have allergies?
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Are there any medical conditions we should be aware of?
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Is camper current on immunizations?
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If the camper currently on any prescription medication?
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If yes, I hereby give Camp Hosanna Senior Staff permission to administer prescriptions listed above:
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I give the camp permission to administer the following to my child, if necessary:
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Parental Consent

By entering your name below you are agreeing to allow this to serve as your electronic signiture and thereby are giving the camper your written permission to attend the selected camp session. This electronic signiture serves as your legal signature.

I have read this form and give my consent for the child named below to attend Camp Hosanna. In case of an emergency, I understand every effort will be made to contact parents or guardians of campers. In the event I cannot be reached, I hereby give permission to the Senior Camp Staff and Physician selected by Senior Camp Staff to hospitalize and secure proper treatment for my child as named below:

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I will not hold the property owners of which Camp Hosanna is located, or anyone connected to Camp Hosanna, liable for injuries that might incur at Camp Hosanna.

Liability Release:
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I hereby give my permission for any pictures taken, that may include my child, to be used for future camp uses.

Photography Consent:
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Electronic Signature

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Summer Camp Registration

Camp Session

Choose the Summer Session you would like to apply for below:

Select Session:
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Camper

Name
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Address
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Birthday
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Camper Age
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Gender
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Did your child read our brochure?
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Does your child agree to abide by the camp's guidelines?
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Email
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Phone
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Mother's Phone Number
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Father's Phone Number
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Camper Medical Information

Enter camper specific medical information below.

Does the camper have allergies?
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Please list all known allergies (including food and medications):
Are there any medical conditions we should be aware of?
{binding displayValue}
If yes, please list below:
Is camper current on immunizations?
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Date of Last Tetanus Shot:
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Insurance Company:
{binding displayValue}
Insurance Policy Number:
{binding displayValue}
Insurance Company Phone:
{binding displayValue}
If the camper currently on any prescription medication?
{binding displayValue}
If yes, please list below:
If yes, I hereby give Camp Hosanna Senior Staff permission to administer prescriptions listed above:
{binding displayValue}
I give the camp permission to administer the following to my child, if necessary:
{binding displayValue}
{ binding firstError.message }

Parental Consent

By entering your name below you are agreeing to allow this to serve as your electronic signiture and thereby are giving the camper your written permission to attend the selected camp session. This electronic signiture serves as your legal signature.

I have read this form and give my consent for the child named below to attend Camp Hosanna. In case of an emergency, I understand every effort will be made to contact parents or guardians of campers. In the event I cannot be reached, I hereby give permission to the Senior Camp Staff and Physician selected by Senior Camp Staff to hospitalize and secure proper treatment for my child as named below:

Camper Name
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I will not hold the property owners of which Camp Hosanna is located, or anyone connected to Camp Hosanna, liable for injuries that might incur at Camp Hosanna.

Liability Release:
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I hereby give my permission for any pictures taken, that may include my child, to be used for future camp uses.

Photography Consent:
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Electronic Signature

Parent/Guardian Signature
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Date Signed
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Summer Camp Registration

Camp Session

Choose the Summer Session you would like to apply for below:

Select Session:
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Camper

Name
{binding displayValue}
Address
{binding displayValue}
Birthday
{binding displayValue}
Camper Age
{binding displayValue}
Gender
{binding displayValue}
Did your child read our brochure?
{binding displayValue}
Does your child agree to abide by the camp's guidelines?
{binding displayValue}
Email
{binding displayValue}
Phone
{binding displayValue}
Mother's Phone Number
{binding displayValue}
Father's Phone Number
{binding displayValue}
{ binding firstError.message }

Camper Medical Information

Enter camper specific medical information below.

Does the camper have allergies?
{binding displayValue}
Please list all known allergies (including food and medications):
Are there any medical conditions we should be aware of?
{binding displayValue}
If yes, please list below:
Is camper current on immunizations?
{binding displayValue}
Date of Last Tetanus Shot:
{binding displayValue}
Insurance Company:
{binding displayValue}
Insurance Policy Number:
{binding displayValue}
Insurance Company Phone:
{binding displayValue}
If the camper currently on any prescription medication?
{binding displayValue}
If yes, please list below:
If yes, I hereby give Camp Hosanna Senior Staff permission to administer prescriptions listed above:
{binding displayValue}
I give the camp permission to administer the following to my child, if necessary:
{binding displayValue}
{ binding firstError.message }

Parental Consent

By entering your name below you are agreeing to allow this to serve as your electronic signiture and thereby are giving the camper your written permission to attend the selected camp session. This electronic signiture serves as your legal signature.

I have read this form and give my consent for the child named below to attend Camp Hosanna. In case of an emergency, I understand every effort will be made to contact parents or guardians of campers. In the event I cannot be reached, I hereby give permission to the Senior Camp Staff and Physician selected by Senior Camp Staff to hospitalize and secure proper treatment for my child as named below:

Camper Name
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I will not hold the property owners of which Camp Hosanna is located, or anyone connected to Camp Hosanna, liable for injuries that might incur at Camp Hosanna.

Liability Release:
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I hereby give my permission for any pictures taken, that may include my child, to be used for future camp uses.

Photography Consent:
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Electronic Signature

Parent/Guardian Signature
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Date Signed
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