Please enter the information below with proper capitalization and accurate spelling as the information you enter becomes your profile in our database.
Please list all allergies to medications, foods, insects, etc.
List all regularly used medications and supplements. Please bring all prescription medications in their original bottles.
Junior Roommate Request
Please list your top two requests for roommates. Although we cannot completely guarantee your first choice, we will do our best to honor one of them.
Please list any other comments, requests, or questions below.
Parent/Guardian Information
If you are coming as a group, please enter the church that you will be coming with.
If your church is not listed, you can scroll to bottom and use "other."
If you would like to have your church added to the list, please contact us.
Camp & Payment information
If you are registering on or before April 1, please check the box below.
In case of a medical emergency, I understand that every effort will be made to contact me,
the parent or guardian of the camper. If I cannot be reached, I hereby give permission to the physician selected by the camp director or nurse to hospitalize and secure proper treatment for an injection, anesthesia, surgery, or whatever is needed for the child named above. I agree to the release of any records necessary for treatment referral, billing, or insurance purposes. In addition to the medical release, I also grant SHC permission to take photographs and/or videos of the above-named camper. I authorize SHC to use or publish the same in print or electronically. I also give permission to be added to an electronic mailing list but realize that I may unsubscribe at any time.
Note: All claims must be submitted to your personal insurance company.
