Kid's Camp Registration 2026

Name

Registration (Pick only one)

Overnight camper Day Camper - not staying overnight

Date of Birth

Gender

Demographic Info (used for statistic purposes only)

Roommate Preference

Grade finishing

Graduation Year

T-Shirt size

Does your child have any dietary restrictions?

If Yes, please explain

County

Parent/Guardian Informatioin

Parent/Guardian

Parent/Guardian 2

Address

This address will receive a confirmation email

Best contact phone

Additional Information

If Other, please list church name

How did you hear about Kids Camp?

Children's Pastor or Church Contact Name

Children's Pastor or Church Phone

Children's Pastor or Church Email

Authorized Adults to Pick Up my Child

Please list the adults who have your permission to pick up your child(ren) including any pastors/ church leaders/ bus drivers.

They will be asked to show photo ID at the camp office upon arrival. We WILL NOT release your child(ren) to anyone who is not listed or does not have photo ID - no exceptions.

Please list all names and phone numbers in the space provided below.

Please list names and phone numbers of all adults who have parent/guardian permission to pick your child(ren) up from camp.

Off-Site Activity Permission and Release of Liability

I acknowledge that Fairmount Camp may conduct activities and events at locations away from the main camp property (“off-site activities”). By checking the box below, I authorize my child to participate in these supervised off-site activities. I understand and agree that:

• Camp staff will supervise participants during all off-site trips.
• Transportation will be provided by the camp or by a transportation provider authorized by the camp.
• Off-site activities may include, but are not limited to, field trips, adventure courses, swimming activities, and other program-related events.
• Participation in off-site activities involves inherent risks, including but not limited to risks associated with travel, outdoor environments, physical activity, and interaction with natural or man-made hazards.

By granting permission, I voluntarily assume all inherent and ordinary risks associated with my child’s participation in off-site activities. To the fullest extent permitted by law, I release, waive, and hold harmless Fairmount Camp, its directors, officers, employees, volunteers, and agents from any liability for injuries, damages, or losses arising from participation in these activities, except in cases of gross negligence or willful misconduct.

I have read and understand the above and give permission for my child to participate in off-site activities and authorize transportation as described.

Yes

Medical Authorization: In the event of illness or injury during an off-site activity, I authorize Fairmount Camp and its staff to obtain emergency medical care for my child. I understand that I am responsible for any associated medical costs.

Yes

Emergency Transport Clause: I acknowledge that, if necessary, my child may be transported off-site for medical treatment or safety reasons, and I authorize such transportation.

Yes

Insurance Acknowledgment: I understand that Fairmount Camp does not provide health or accident insurance for participants and that it is my responsibility to maintain adequate insurance coverage for my child.

Yes

Media Release

We will be taking photos and videos throughout the week at camp to post on Facebook and Instagram for families to be able to view during the week and after the camp has ended.

I authorize Fairmount Camp to photograph or post videos of my child on social media.

Please make sure to follow the Medical Release Form link in your confirmation email and submit that form. WE MUST HAVE THIS FORM FOR YOUR CHILD TO STAY AT CAMP. If you choose to not fill it out online, please feel free to print it off and mail it into us at:
Fairmount Camp
711 E 900 S
Fairmount, IN. 46928

An Unplugged Summer at Camp

This summer, we are intentionally creating a more distraction-free environment so campers can fully engage with God, with one another, and with the experience of camp.

Throughout Scripture, we see that God often speaks most clearly when we step away from noise and busyness. Camp has always been a place set apart — a space where students can grow in faith, build deep friendships, and experience the beauty of God’s

creation without distraction.

To protect that space, we are making the following updates to our phone policy:

Kids Camp & Middle School Camp – Completely Phone Free

For Kids Camp and Middle School Camp, camp will be fully phone-free.

Campers may not bring:

- Cell phones

- Smartwatches

- Tablets

- Handheld gaming devices

- Any personal electronic communication devices

If a device is brought to camp, it will be collected and securely stored until the end of the session.

Our heart behind this policy is simple:

When screens go away, students lean in — to worship, to friendships, to cabin conversations, to campfires, and to what the Lord may be doing in their hearts.

High School Camp – Strongly Encouraged to Go Phone Free

For High School Camp, we are strongly encouraging students to leave their phones at home this summer.

We believe high school students are capable of rising to this challenge and embracing a distraction-free week. This year will serve as a transition year, as High School Camp will become fully phone-free next summer.

Students who bring phones will be expected to keep them put away during programmed activities, worship, and small groups. Leaders will provide clear guidance upon arrival.

Our desire is not control — it is freedom. Freedom from comparison, from constant notifications, and from distractions that can interfere with what God wants to do during the week.

Communication with Parents

We understand that being unplugged can feel like a big step. Please know:

- Campers can send letters home.

- Families may send letters or emails through the camp office.

- In urgent situations, parents may contact the camp office at any time.

- If needed, our staff will contact families directly.

Our trained staff and counselors are present 24/7 and are committed to caring for your camper’s physical, emotional, and spiritual well-being.

Why We’re Doing This

As a Christian camp, our mission is to help young people grow in their relationship with Jesus Christ.

Distraction-free space allows for:

- Deeper worship

- More meaningful conversations

- Stronger friendships

- Increased confidence and independence

- Greater awareness of God’s presence

Some of the most powerful moments at camp happen when students are fully present — sitting around a campfire, praying with cabin mates, or reflecting quietly after chapel.

We believe an unplugged week creates room for the Holy Spirit to work in ways that constant connectivity simply does not.

I understand that: Kids Camp and Middle School Camp are fully phone-free. High School Camp strongly encourages campers to leave phones at home this year and will transition to a full phone-free policy next year. Any unauthorized devices brought to Kids or Middle School Camp will be collected and returned at the end of the session. By registering, I agree to support the camp’s technology policy and help prepare my camper for a distraction-free, Christ-centered week.

I agree

Grant Assessment Information

In order to receive grant funding for future programming, we need access to some valuable information for the kids that attend our camps. If you would be willing, please fill out the following information regarding your household. None of these questions are required and ALL information will be kept confidential and will not be sent to any other camps or agencies.

What school corporation does your child attend?

Does anyone in your household have a physical or mental disability? Yes No

Does anyone in your household under the age of 18 have a physical or mental disability? Yes No

Does your household qualify for free or reduced lunches at school? Yes No

Does your household consist of the following? Single Parent 2 Parents Grandparents living in the home Other relative or non relative living in the home helping with child care

How many people currently live in the home?

How many people 18 and younger live in the home?

Have you ever been a foster parent? Yes No

What is your annual household income? Less than $25,000 Between than $25,000 - $50,000 Between $50,000 - $75,000 Between $75,000 - $100,000 Over $100,000

Payment Options

Registration needs to be paid in full on or before June 30, 2026.

You may choose to make partial payments via check or online.

If you are paying online, there is a 4% processing fee. This is the minimum fee that we are charged to process your transaction.

If mailing a check, please write "Kids Camp" and your child's name in the memo section and send to:

Fairmount Camp
711 E 900 S
Fairmount, IN 46928

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Kid's Camp Registration 2026

Description

Please Fix the Following