Family Camp Registration

Camp Choice:
(Check One)
Registration for Family Camp I and II begins at 4:00 p.m. the first day of camp
Parents Attending:
Address:
City:
State:
Zip:
Phone:
Email Address:
Home Church:
Children Attending:
Include names and ages
Enter Numbers:
2 and under; FREE
3 to 5; ($20.00 each FC I / $10.00 each FC II)
6 to 12; ($48.00 each FC I / $22.00 each FC II)
13 to 17; ($58.00 each FC I / $35.00 each FC II)
18 and over; ($77.00 each FC I / $55.00 each FC II)
$
3% PayPal/Credit Card Processing Fee
$
$10.00 Late Registration Fee
$
TOTAL (Before processing and late fees, a $250 max for FC I and a $200 max for FC II.)
Accommodations:
(Check One)
Prefer to room with listed family:
Registration for Family Camp I and II begins at 4:00 p.m. the first day of camp

Food Allergies:

FOR PARENTS

In case of medical emergency, I understand that every effort will be made to contact parents/guardians of campers. In the event that I cannot be reached I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection, anestesia or surgery for my child, as named herein. Parents or guardians are responsible for the insurance coverage while their child is attending camp. Any outside charges incurred relating to sickness or illness by your camper will be billed to parents or guardian. I herby certify that the above information is correct. I also give permission for the use of photographs or video inculding my son or daughter to be used in camp publicity.

I consent to have my child participate in the activities of Crystal Springs Baptist Camp, and certify that I will hold Crystal Springs Baptist Camp, its directors, employees or agents harmless from any and all liability and claims arising out of participation in or in the connection with the program of Crystal Springs Baptist Camp.

IMPORTANT!

Parent Initial
Parent, Please check this box and initial to indicated that you have read, understand, and agree to the previous statement regarding medical emergencies, insurance, publicity, and activity participation.

FOR CAMPERS

1) Release of Responsibility: In consideration of the opportunity to participate in the activities, I will not hold Crystal Springs Baptist Camp, its directors, employees, or agents responsible or legally liable for any injuries to the person or property or the results thereof, incurred and suffered as a result of my participation in any of the activities or programs at Crystal Springs Baptist Camp.

2) Willingness to Follow Instructions and Rules: I understand that Crystal Springs Baptist Camp will provide the necessary safety equipment and personnel trained to supervise participation in these activities. I agree to use the equipment as directed and to observe and follow all rules and guidelines for participation in these programs as directed by Crystal Springs Baptist Camp staff. I further agree that any failure to do so on my part may prevent my participation in these activities.

IMPORTANT!

Camper Initial
Camper, please check this box and initial to indicate that you have read, understand, and agree to the previous statements regarding Release of Responsibility and Willingness to Follow Instructions and Rules.
When you submit this form, you will enter our payment processing page. If you agreed to make the registration payment online, successful payment processing is required in order to complete the registration process. If you did not agree to pay online, then you can exit the payment process page and payment will be required at a later date. If you have any questions, please email us at office@csbcamp.org or call us at (701) 486-3467. Thank you!