(There are 2 steps to completing the
online registration)
Step #1 You must complete this form for each person you want to register for camp.
*
= required fields
Sr High
Experience
*
First Name:
Male
Female
*
Last Name:
*
Street Address:
*
City, State,
Zip:
*
Area Code / Phone #:
*
Date of Birth:
Month
Day
Year
*
Age:
*
Fall '10 Grade
*
Church or Youth Group:
*
Name(s) of Parent(s) Teen lives with:
*
Parent e-mail address:
*List current medications and dosages:
(required field, if you don't have any, just fill in
"none")
*List all allergies:
(required field, if you don't have any, just fill in
"none")
*I am coming as a (select one)
Camper
Counselor
(All counselors must be pre-approved by Paul Alf.)
* Parental Agreement: I approve of the use of pictures
taken of my child to be used in promotion. In an emergency, I hereby givepermission to the licensed physician selected by Sky Lodge Christian
Camp to secure proper treatment,hospitalcare, anesthesia, or surgery for my child named on this form. I
also give my permission for my child to be
transported to, and participate in a service project that will be held off
Sky Lodge Christian Campgrounds onSeptember 4 and 5, 2010.
* Please enter your
initials to indicate that you have read and agree with the Parental Agreement.
Step #2 After you submit this
registration, you will be directed to a page
where you will pay the $20
registration fee.
