Beaver Creek Camp Registration Form 2022
Jo Sollick:
Ronni DeSimone: 

General Registration Information

Emergency Contact if we can't contact the Parent or Guardian

WHICH CAMP SHOULD I CHOOSE? (Left Click for Drop Down Menu Below)

Church Information

Camping Experience & Relevant Personal Issues to be aware of in confidence
The following information is designed to assist the camp director and counselors in most constructively grouping, program planning, and counseling with your camper. Only those directly responsible for your camper will have access to this information.

General Medical Background & Emergency Permissions
Describe any medical problems for which treatment is or might be necessary while at camp, including any prescription or over-the-counter medicines to be taken. (please state dosage required)

Permission for Medical Care
In Case of an Emergency: I understand that every effort will be made to contact the parent/guardian of a camper or minor staff member, or next of kin of an adult staff member, in case of a medical emergency. In the attempt that such attempts are unsuccessful, I hereby authorize the staff at Beaver Creek Camp to obtain medical care for the person identified in this form, and hereby authorize the physician and/or hospital selected to provide emergency treatment for the person identified in this form.

T-Shirts & Pictures

May we include pictures of your camper in photographs that we post on our camp website? (No camper names are provided.) Check YES or NO