FLAG Camp Campers Come Have Fun With Us! We have TWO ways to sign up!Method 1: download and print the forms below, then mail or hand deliver them to our office. The cost for camp is found in the camper handbook, listed first in the documents below.Remember, in order to register your child, we need to receive your camper handbook acknowledgment form, $40 registration fee and registration form. View Downloadable Forms Camper HandbookCamper RegistrationCamper Handbook Acknowledgement FormCamper Pick-Up and Drop-Off FormCamper Medical Release Form Method 2: fill out the forms below, then mail or deliver your registration fee to our office.The cost for camp is found in the camper handbook, listed first in the documents given in method 1.Remember, in order to register your child, we need to receive your camper handbook acknowledgment form, $40 registration fee and registration form. Camper Registration Form: Camper Name * First Name Last Name Camper Age 5 6 7 8 9 10 11 12 My camper is over-aged or underaged. Could you still accept them? Camper Birth Date * MM DD YYYY Camper Gender Male Female Grade in School Next Year * Kindergarten 1st 2nd 3rd 4th 5th 6th 7th School Attending Next Year * Parent/Guardian 1 * First Name Last Name Phone (###) ### #### Email Parent/Guardian 2 First Name Last Name Phone (###) ### #### Email Person Financially Responsible for Camper Account * First Name Last Name Phone (###) ### #### Email Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Camper's Doctor * Doctor's Phone * (###) ### #### Medical/Hospital Insurance * Policy or Group # Church Affiliation (if any) My Camper takes a medication and I will indicate that on the medical release form: * Yes No When it is time for sunscreen at camp, please * Use the sunscreen provided by camp Use only the sunscreen my camper will bring Do not have them apply sunscreen Date of my camper's last tetanus shot * MM DD YYYY Please indicate here any allergies your camper has, including their reaction and the treatment you use: * Hay Fever, Insect Stings, Peanuts, Medications, etc. Select any conditions your camper has that may affect how we serve them at camp * ADD/ADHD OCD ODD Emotional disturbances Motion Sickness Asthma Bleeding/clotting disorders Any immune system issues Musculoskeletal disorders Need of glasses or contacts Hearing impairment Heart defect/disease Special dietary needs Nosebleeds Seizures Sickle cell Motion Sickness Diabetes Other None that would affect their camp experience Please provide additional explanation for any conditions selected above Please select all weeks that you plan on bringing your child to FLAG Camp * Week 1: Jun 10-14 Week 2: June 17-21 Week 3: June 24-28 Week 4: July 1-3 Week 5: July 8-12 Week 6: July 15-19 Week 7: July 22-26 During the selected weeks, how often will your child attend FLAG camp? * 1-2 times each week 2-3 times each week 3-4 times each week 4-5 times each week 5 times each week How did you hear about FLAG Camp? * check all that apply We're returning from a previous summer Word of Mouth/Friend Arden Church Sign Grace Notes Publication Captain Gilmer Christian School Instagram My local church Personal Invitation from Pastor Rich or Mrs. Hagan Health Info Confirmation * This health history is complete and accurate. I know of no reason(s), other than the information indicated on this form, why my son or daughter should not participate in prescribed activities except as noted. I authorize all medical, diagnostic and hospital procedures which may be performed or prescribed for my child by a licensed physician, when efforts to contact me are unsuccessful and when deemed immediately advisable by the physician to safeguard my child’s health. I agree Insurance Statement * I understand that my insurance coverage for my child will be used as the primary insurance in the event medical intervention is needed. Coverage by the Arden Seventh-day Adventist Church through its accident policy will be used as secondary insurance. I agree Social Media and Pictures * I give permission for my child to be photographed and videotaped, and further agree to allow Arden FLAG Camp to use these pictures for promotional purposes. I agree I do not agree General Agreement * I have read all of the FLAG Camp registration information. I understand the information and agree to abide by the terms. I give my permission for my son or daughter to attend FLAG Camp and participate in all phases of activities, including supervised trips away from the site or travel to location of the camp. I agree to instruct my child to observe rules and regulations governing the activities. I understand that a statement of good health is required before he or she may attend. I hereby release FLAG Camp International and Arden Seventh-day Adventist Church and all staff members from all liability for any injury sustained by my child apart from negligence on the part of camp or a staff member. I agree Registration Fee * I agree to submit the necessary registration fee in order for my registration to be processed. I agree You’ve successfully submitted your form! Thank you! Don’t forget to submit the handbook acknowledgement Camper Handbook Acknowledgement Form: Camper Name * First Name Last Name Adult Guardian Name * First Name Last Name Relationship to Camper * Checkbox * I have reviewed the 2024 version of the FLAG Camp Camper Handbook. I have familiarized myself with the contents of the handbook and by checking this box I acknowledge, understand, accept, and agree to comply with the information contained in the Camper Handbook. I understand that this handbook is not intended to cover every situation which may arise during my child's participation in this summer day camp program, but is simply a general guide to the policies, procedures, philosophy, and expectations of the FLAG Camp Ministry and the Arden Seventh-Day Adventist Church. I agree You’ve successfully submitted your form! Thank you! Camper Medical Release Form: Camper Name * First Name Last Name Adult Guardian Name * First Name Last Name Relationship to Camper * Checkbox * I have reviewed the 2024 version of the FLAG Camp Camper Handbook. I have familiarized myself with the contents of the handbook and by checking this box I acknowledge, understand, accept, and agree to comply with the information contained in the Camper Handbook. I understand that this handbook is not intended to cover every situation which may arise during my child's participation in this summer day camp program, but is simply a general guide to the policies, procedures, philosophy, and expectations of the FLAG Camp Ministry and the Arden Seventh-Day Adventist Church. I agree Medication(if any): Prescription #: Time of day medication is to be given Method of Giving Doses Amount of each dosage How long should we be giving the child this medication? Prescribing Physician Contact First Name Last Name Phone (###) ### #### I hereby authorize the FLAG Camp Adminsitrative Staff to administer the prescribed medication to my child as provided. I derstand that a medication log record will be kept on file. * I agree I do not plan for my child to be administered any medications at camp. You’ve successfully submitted your form! Thank you! Camper Pick-Up and Drop-Off Form: Camper Name * First Name Last Name Name of Individual who will normally pick up and drop off the camper: * First Name Last Name Relationship to Camper * In case of an emergency, or if the designated person cannot be contacted, I hereby authorize the following people to pick up my camper: Alternative Contact * First Name Last Name Relationship to Camper * Phone #1 * (###) ### #### Phone #2 (###) ### #### Alternative Contact * First Name Last Name Relationship to Camper * Phone #1 * (###) ### #### Phone #2 (###) ### #### Alternative Contact * First Name Last Name Relationship to Camper * Phone #1 * (###) ### #### Phone #2 (###) ### #### The following persons may not remove the camper from FLAG Camp: Name First Name Last Name Relationship to Camper * Custody Papers on File: Yes No The above Information is provided by: Name * First Name Last Name Date MM DD YYYY Relationship to Camper * I am a guardian in custody of the child and the above form accurately expresses my wishes for my child. * I agree You’ve successfully submitted your form! Thank you!
