Family Camp Kids Registration 2026

July 19-26, 2026 | Family Camp Kids 2026
July 19-26, 2026

Name

Date of Birth

Gender

Please select one option.

Male Female

Area:

Please select one option.

Infants Toddler Pre-K Elementary

Age

Grade finishing

Please select one option.

1st 2nd 3rd 4th 5th 6th

Parent/Guardian Informatioin

Parent/Guardian/Adult Responsible

Parent/Guardian/Adult Responsible 2

Address

This address will receive a confirmation email

Best contact phone

Additional Information

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.

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

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.

Please select all that apply.

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.

Please select all that apply.

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.

Please select all that apply.

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 select one option.

Yes No

Description

July 19-26, 2026

Family Camp Kids 2026
July 19-26, 2026

Family Camp Kids Registration 2026

Description

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