Camper Registration

Ages 11+

Please complete all required fields.

Camper Registration Form

Camper Info
Parent/Guardian Info
Medical Info
Parent/Guardian Signature
Payment

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Date *

Section 1 – Camper Information

First Name *

Last Name *

Gender *

Male

Female

Date of Birth *

Age

Phone Number *

Email Address

Address *

Address

City

State/Province

Zip/Postal

Parent or Guardian *

Pastor *

Campus Release

I am aware that during my visit to Camp Judah, located at Abundant Life - The House of Mercy and its grounds, including all areas of the FLC, Abundant Life - The House of Mercy, Recreational Areas, and all other buildings and facilities used during participation of activities at Camp Judah could cause certain risks and/or dangers. Considering my voluntary election to attend Camp Judah, I do hereby assume all risks and to the fullest extent permitted by law, do hereby agree to hold harmless Camp Judah and Abundant Life - The House of Mercy from and against any and all personal injury, causes of action, losses, cost, liability, actions, debts, claims, dangers, expenses and demands of every kind and nature whatsoever which I now have or which may arise from or in connection with my presence or participation in any activities arranged for me at Camp Judah.

This agreement shall be binding upon me, my heirs, executors and administrators. My presence and participation in any activities at Camp Judah is completely voluntary.

By signing below, I hereby acknowledge the reading and understanding of the foregoing and have agreed to the same with full knowledge and understanding of its content.

I will abide by camp rules and dress code

Agreement *

I agree

Camper Signature (Digital) *

Enter the camper's full name

Camper Registration

Camper Registration Form

Section 1 – Camper Information

CAMP JUDAH