2024 Gil's Hills Summer Camp
Gil's Hills Summer Camps are free of charge, although donations are greatly appreciated!
Please fill out a separate form for each child that would be attending camp.
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Email *
My Child's Full Name: *
My child's Date of Birth *
Address (#, Street, City, State, Zip): *
I am interested in sending my child during this week: *Summer camp slots are available on a first-come, first-served basis and dates are not guaranteed. * *
MEDICAL RELEASE: I, being the parent or guardian of my child give the Gil’s Hills staff permission to seek medical attention for the care of my child. If, at one of the Gil’s Hills activities, my child is hurt or injured and I cannot be reached, I also give Gil’s Hills Ministries permission to administer medical attention and to take my child to the Emergency Room if deemed necessary.   I further assume all responsibility for the decisions made by the Gil’s Hills Staff.  In the event of an accident or injury to my child that is not through the negligence of Gil’s Hills, I will not sue Gil’s Hills, Inc. By Typing my name below, I agree to the above conditions. *
Parent or Guardians Name(s) *
Parent or Guardian's Phone Number: *
Additional Phone Number: *
Parent or Guardian E-mail: *
Emergency Contact Name and Phone Number: *
Physician's Name and Phone Number: *
Insurance Company and Policy Number: *
Does your child take any medications? *
If you answered yes, please provide a list of medications your child takes. Please provide the dosage, how often they take them and what the medication is for.
Does your child have any allergies? *
If you responded yes, please list your child's allergies below. Please include medications, environmental and food allergies.
Is your child current on all vaccines required for school? *
Please type your name below to agree that all of the above information is accurate to the best of your knowledge. *
Thank you for your application!
A Gil's Hills staff will contact you shortly if they need any additional information and to confirm your camp week. Please be sure to check your e-mail as camp gets closer for follow up emails and a packing list!
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