Faith in Action Camps 2025

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Faith in Action Camps 2025

Pre-K Camp (3 years - completed kindergarten): June 2-6, 2025; Reg. Fee: $25 per child; Deadline: May 23

Elementary Camp (completed first - fifth grade): June 23-27, 2025; Reg. Fee: $50 per child; Deadline: June 6

Tinkling Spring Presbyterian Church: 30 Tinkling Spring Drive, Fishersville VA 22939

Camp Coordinator: Harriet Thompson (540) 885-0746 or dce@tinklingspring.com

Child's Name *

Child' Birthdate *

YYYY

Grade Completed

(as of May 31, 2025)

Preschool (3 - 5 years)

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Required

Child's Medical Conditions and Allergies

(medicine, food, others)

Child's T-Shirt Size *

Youth XS

Youth S

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

Adult XL

Parents'/Guardians' Names (first and last) *

Mailing Address *

Parents'/Guardians' Contact Phone Numbers

(mobile, work, home)

Parents'/Guardians' Email *

Emergency Contact's Name (first and last)

and Relationship to Camper

Emergency Contact's Email *

Emergency Contact's Phone Numbers

(mobile, work, home)

Health Insurance Carrier ("none" if uninsured)

Please list:

1) Name of the Carrier

2) Policy Number

3) Policy Member's Name

Persons(s) transporting child to and from camp *

By checking the following, I consent to... *

I give permission for my child to attend Faith in Action Camp (June 2025) and to participate in all camp activities.

I release Tinkling Spring Presbyterian Church and any of the adult and youth leadership at the Faith in Action Camp from any liability for any injury or problem occurring during participation in this event.

I give permission for the use of photography including my child to be used for publicity (in print and/or on-line) for the Faith in Action Camp. I understand that NO reference will be made by name and NO information or links will be provided that will allow for direct contact by someone with internet access.

In the event of an emergency, I understand that all reasonable attempts will be made to contact me in the case of an accident involving my child. In the event that I cannot be reached, I hereby give permission for emergency medical care for my child (including hospitalization, ordering injections, anesthesia, and/or surgery).

Required

I understand the camp registration fee may be paid by cash or check payable to TSPC, and is due no later than the first day of camp. *

$25 due (Pre-K Camp, June 2-6, 2025, 9 AM-12 PM daily)

$50 due (Elementary Camp, June 23-27, 2025, 9 AM-3 PM daily)

Required

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