BOYS & GIRLS CAMP PRE-REGISTRATION FORM
Stone Association Boys & Girls Camp Pre-Registration Form
*Boys Camp Dates: June 3rd - June 7th
*Girls Camp Dates: June 10th - June 14th
*Camper Age: Completed Grades 1 - 6
*Counselor Age: Completed Grades 7-12
*Camper Cost: $135 Per Camper (1st - 6th Grade) ($160 AFTER 5/20/24)
*Camp Counselor Cost: $80 per Counselor (7th - 12th Grade) ($110 AFTER 5/20/24)
*YOU MUST FILL OUT A FORM FOR EACH CHILD
*YOU MUST FILL OUT A FORM IF YOU ARE A CAMP COUNSELOR AND/OR A VOLUNTEER
*ALL COUNSELORS AND VOLUNTEERS OVER THE AGE OF 18 MUST HAVE A BACKGROUND CHECK
*DEADLINE FOR PRE-REGISTRATION IS MAY 20TH, 2024.
Sign in to Google to save your progress. Learn more
Email *
Name: *
Address: *
Best Daytime Phone Number: *
Best Nighttime Phone Number: *
Church I attend: *
If your church is not on the above list, what church are you attending?
Childs Name / Adult Volunteer's Name *
My Child will be a Camper (Grades 1 - 6) /attending:
Clear selection
My Child will be a Counselor (Grades 7 - 12) attending:
Clear selection
I am an adult volunteer attending:
Clear selection
My Child has just completed: *
My Child has / I have the following allergies (food, environmental, etc.).  TYPE N/A IF THERE ARE NO ALLERGY CONCERNS. *
Are there any special instructions, special needs, medications, etc., that the Camp Directors need to be aware of? *
If the above answer is "Yes", what is the best number and time that we can reach you to discuss?  If the above answer is "No", simply type N/A. *
My child, whom I am registering on this form, has my permission to engage in all of the camp activities, including swimming. *
If the above was answered "No", please list any and all exceptions.  Type N/A if the above was answered "Yes" or "N/A: Adult Volunteer". *
By typing my name below, I certify that I will not hold the Camp Director, Camp Committee, Counselors, Stone Association of Southern Baptists, or any other person enrolled in camp, to be responsible in case of any accident that may bring injury to myself / my child. *
By typing my name below, I grant my permission for camp staff to seek, and for emergency medical personnel to administer emergency medical treatment to myself / my child if it should become necessary. *
By typing my name below, I am agreeing that I WILL NOT be able to volunteer at Camp Sandy Stone until my background check is completed.  I also understand that the form will be emailed to me once this registration is received.  (Type N/A if you are registering a child / camp counselor who is under the age of 18) *
In case of Emergency, Please Contact (Type the Emergency Contact Name and Phone Number): *
My Medical Insurance Carrier is: *
My Policy # is: *
My Family Physician name and phone # is: *
I am this registered child's: *
CAMPER PAYMENT OPTONS:
I am sending my payment of $135 per camper (If Registered And Paid By 5/20/24), or $160 per camper (If Registered And Paid After 5/20/24) via:
 *
COUNSELOR PAYMENT OPTONS:
I am sending my payment of $80 per counselor(If Registered And Paid By 5/20/24), or $110 per counselor (If Registered And Paid After 5/20/24) via:
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms