Please enter the information below with proper capitalization and accurate spelling as the information you enter becomes your profile in our database.
List all allergies (medications, foods, insects, etc.)
List all regularly used medications and/or supplements
Campers are not required to turn in their medications like they are at summer camp, but we will have a nurse present if you would rather your teen turn in his or her medications/supplements and be given them at the appropriate time.
Please list any other comments, requests, or questions below.
Currently at Camp Susque, campers even on the same team will not necessarily bunk in the same room. If you would like your teen to be on the same team as his or her friend, you can make that request. However, please know we may not be able to honor your request and even that does not ensure they will be in the same room.
Parent or 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, please contact us.
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.
This form will only be available through Thursday, January 15, 2026.
If you have already registered for the second retreat, you may not register for this retreat until Thursday, January 8, 2026.
