SWOK Kids' Camp --Early Registration (by May 20) $195; Regular Registration (after May 20) $205
REGISTRATION FOR JUNE 17-20, 2024
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Email *
Camper's First Name *
Camper's Last Name *
Sex *
Grade Completed (in May 2024) *
Street Address *
City *
Zip code *
Primary Contact Name/Relationship to Child (Example: Sally Smith/Mom)
 *
Primary Contact Number with area code *
Secondary Contact Name/Relationship (Example: Sam Smith/Dad) *
Secondary Contact Number with area code *
Church that student is attending with *
Food Allergies
Medical Conditions (asthma, seizures, etc.) or Environmental Allergies (seasonal allergies, pet dander, bee stings, etc.) 
Drug Allergies--If none write NKDA (No Known Drug Allergies) *
Over-the-Counter Medications that my child may take as needed (Check all that apply)
T-Shirt Size *
I give my child permission to swim: *
I agree to pay the REGISTRATION amount of $195 to my local Church.  I understand that if I cancel after May 20, my church may request to apply the fee to another camper for 2024 Camp or may only be refunded half of registration ($100).   *
I agree to turn in a copy of immunization form and copy of my insurance card to my local Church by May 20.  
*
Required
I give permission for my child's picture to be used in documents, publications, and events for the campground, the church, and the SWOK District *

SWOK District Release Form

We, the parent(s)/guardian do hereby give permission for my (our) child named above to attend and participate in the activities that are associated with the SW Oklahoma District Kids’ Camp during 2024.  We do hereby release and will hold the SW Oklahoma District, Salyer Lake Campground, and any connected affiliate, harmless of any and all liability and claims resulting from any injury, loss, or accident that might occur to said minor while participating in the activities affiliated with the Kids’ Camp during the designated year.  This shall also constitute authority to the camp director or staff to give consent for any doctor, nurse and/or hospital to administer medical aid and treatment for the minor if an accident is sustained or emergency exists. This includes any X-ray examination, anesthetic, surgical or dental diagnosis or treatment and hospital care.

We, the parent(s)/guardian, also recognize that my (our) child (a minor) will be staying in the designated cabin/dorm of the sex on the student’s birth certificate.

By electronically typing my name, I (we) as the parent(s)/guardian acknowledge that this is the legal equivalent of my handwritten signature and I consent to be legally bound to this agreement.

Type your full legal name below as the parent/guardian and today's date:

*
A copy of your responses will be emailed to the address you provided.
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