Coram Deo '24 Registration
Event Dates: June 9-14, 2024
Camp Location: Awanita Valley, Marietta, South Carolina
Contact: (813) 787-1942 or tccyouth@tampacovenant.org

Instructions:
  • We need this registration form completed for EACH camper! 
  • Also make sure to click the link at the end to download a camp packet (required for each camper)
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CAMPER INFORMATION
General information about camper & parent/guardian
Camper's Name *
T-Shirt Size *
Date of Birth *
MM
/
DD
/
YYYY
Grade beginning in the fall *
PARENT/GUARDIAN INFORMATION
Please enter the information pertaining to the parent or guardian responsible for the camper.
Parent/Guardian Name *
Relationship to Camper *
Address *
Please list street, city, state, and zip
Phone Number *
Email *
EMERGENCY CONTACT
Add contact info for your camper's preferred emergency contact
Emergency Contact Name & Relationship *
Emergency Contact Phone Number *
HEALTH INFO
Date of last tetanus shot
MM
/
DD
/
YYYY
Date of last physical exam
MM
/
DD
/
YYYY
General Health
Clear selection
Blood Pressure
Clear selection
Easily Sunburns
Note: It's camp policy for EVERY individual to wear a sun-shirt for all water activities
Clear selection
Dietary restrictions *
Any medical, physical, or emotional conditions we should be aware of?
FINAL ACKNOWLEDGMENTS
To the best of my knowledge, all information provided by me is correct, accurate, and complete. The person herein described has my full permission to participate in camp activities except as indicated. In the event of any illness or accident, I give full permission to administer medical attention without delay as the judgement of the medical personnel dictates. *
Your acknowledgment will serve as your signature in 'signing' this registration document
Required
I understand that I will have to pay the camp fee prior to departure on June 9 *
Camp fee is $350 per camper, unless prior arrangements made with Youth Director
Required
Be sure to download a camp packet for your camper(s)!
Click here to download the packet and print/send to Gabe (tccyouth@tampacovenant.org)
Packet contains permission slip, medical/allergy info, and packing list for campers.
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