Steps to register for camp
(Please Submit each of the following 3 forms below)
Junior campers note: if you bring back last years bible you'll receive a surprise

1. Fill out registration below

Camp Registration

Camper Info

Parent/Guardian Info

Parent/Guardian Name 1

First name

Last name

Sex

Grade Entering

Age

Birthdate

First name

Last name

Phone

Relationship

Street Address

City

Region/State/Province

Postal / Zip code

Phone

First Time at Camp

Yes

Which Camp will you attend

Are you an Angel Tree Camper?

Parent/Guardian Name 2

First name

Last name

Phone

Relationship

Church Info (leave blank if you don't attend a church)

Pastor or Youth Pastor Name

Church Name

Phone

Diet and Nutrition

Camper eats regular diet

Camper is a vegetarian/Vegan

Camper has special food needs

Camper hads food allergies

Please list/describe all food allergies or special diets here:

Camper Restrictions

Camper can participate in any and all camp activities

Camper can participate with the following restrictions or adaptations

Please describe/list all restrictions

camper photo/video release

I hereby authorize Camp Suwannee to use pictures of my child/ward taken in a photograph, digital image, videotape, motion picture, and/or testimonial (written words). The undersigned hereby releases Camp Suwannee, its agents or employees, as well as any and all users and exhibitors of said pictures, from any and all claims, demands, accountings, and causes for which the aforesaid videotape, testimonial, motion picture, digital image, or photograph likeness may be used pursuant to this Consent and General Release. It is also my understanding that I will receive no compensation for my likeness or testimonial.

Photo/Video Permission

Yes

I herby certify that, to th best of my knowledge, the provided information is true and accurate

Your Signature

Select a date

Thank You for Registering for Camp Suwannee 2024

There is a 2.9% + 0.30 charge for all payments so the total at the end is $27 for registration.

2. Emergency Contact

Emergency Contact Form

Camper Info

First name

Last name

CAMPER EMERGENCY CONTACT DETAILS:

Contact First Name

Contact Last Name

Contact Email

Relationship to Camper

Contact Phone Number

Physician First Name

Physician Last Name

Insurance Company

Policy Number

Physicians Phone

Insurance Address

List all medications required on a regular basis

Allergies/Physical Restrictions

Front of Insurance Card

Upload File

Upload supported file (Max 15MB)

Back of Insurance Card

Upload File

Upload supported file (Max 15MB)

Thanks for submitting!
We’ll contact this person only in case of emergency.

3. Medical Info./Medical release

Health Declaration

Please fill out the following form
in order to participate in our activity.

Camper first name

Camper last name

Contact Email

Medical History

Back Problems

Yes

Heart Disease

Yes

Contacts/Glasses

Yes

Convulsions/Seizures

Yes

Diabetes

Yes

Heart Murmur

Yes

Ear Infections

Yes

Joint Problems (knees, etc.)

Yes

Emotional Disturbances

Yes

Had a head Injury

Yes

Been Hospitalized

Yes

Hearing Impairment

Yes

Diarrhea/constipation

Yes

Had surgery

Yes

High blood pressure

Yes

Asthma

Yes

ADD/ADHD

Yes

Bed-wetting

Yes

Cancer/leukemia

Yes

Sleepwalking

Yes

Kidney disease

Yes

Menstrual cramps

Yes

Migraines

Yes

Motion sickness

Yes

Fainting or dizziness

Yes

Nose bleeding

Yes

Skin problems (rash, etc)

Yes

Chronic or recurring illness

Yes

Recent injury,illness or infectious disease (in last 6 months)

Yes

Mononucleosis (in last 12 months)

Yes

Hemophilia/other bleeding disorder

Yes

Other medical history not specified

Yes

Traveld outside U.S (last 9 months)

Yes

If you answered yes to any question, please elaborate

For travel outside U.S, name country(s) visited and dates

Mental, social and Emotional health (check yes or no)

Ever been treated for ADD or ADHD

Yes

Takes ADD or ADHD medication during the school year that the camper does not/may not take during the summer

Yes

Takes ADD or ADHD medication during the summer

Yes

If you answered yes to any question, please elaborate

Ever been treted for behavioral, emotional, or eating disorder

Yes

During the last 12 months, seen a professional to address mental/emotional concerns

Yes

Had a significant life event, that continues to affect the campers life (death in family, abuse, adoption, foster care, etc.)

Yes

Camper will take medication while at camp "Medication" is any substance a person takes to maintain and/or improve their health. This includes vitamins & natural remedies)

Yes

Date of Last Physical

Immunization

Tetanus (DT, DTaP, Td, or Tdap)

Year primary series completed

Year of last booster

Tuberculin Test

Type

Year Last Given

Result

For Medical Treatment: I understand that the Camp Director for the week is serving as the guardian of my child while attending camp and has my permission and support to act on my behalf. By initialing below, I agree to hold the Florida Conference of Advent Christian Churches (FLCACC) or any employee or volunteers of said organization, harmless for any accidental injury to my child while participating in any and all camp programs. I also agree to hold them harmless if my child tests positive for COVID 19 after attending camp. I authorize the Camp Director for the week and/or weekly staff to consent to any and all x-rays, examinations, anesthetic, medical or surgical treatment and hospital care (including, but not limited to, intravenous solutions and/or blood transfusions), to be rendered to my child under general and specific supervision and of the advice of any physician or surgeon licensed to practice in the United States of America. I also agree to be financially responsible for any and all medical and/or surgical procedures rendered to my child. I understand that my child must undergo a health check by the Camp Nurse before registration, and if anything of concern is found, options will be discussed before being allowed to proceed to registration.

Medical Treatment agreement

***Florida law requires original pharmacy containers with labels which show the camper’s name and how the medication should be given. Provide enough of each medication to last the entire time the camper will be at camp. ***

I declare that the info I’ve provided is accurate & complete

Your Signature

Thanks for submitting!

What To Bring To Camp

✓ Bible, pencil and paper

✓ Bedding or sleeping bag & pillow
✓ Comfortable clothes and shoes for outdoor activities
✓ Toiletries and towels

✓ Swimsuit and towel (conservative, one piece)

✓ Flip flops/sandals/water shoes
✓ Dirty clothes bag

✓ Light jacket or sweatshirt
✓ Money for snacks and T-shirt, if desired
✓ Sun block and bug repellant

✓ Flashlight

✓ Reusable Water bottle

What Not To Bring To Camp

NO ELECTRONIC DEVICES (NO CELL PHONES)
Fireworks
Lighters or Knives
Weapons of any kind
Drugs, Alcohol, Tobacco, Vapes

Possession of alcohol, tobacco, vapes, or drugs of any kind will result in immediate dismissal and possibly exclusion from future events!!!

Steps to register for camp (Please Submit each of the following 3 forms below) Junior campers note: if you bring back last years bible you'll receive a surprise

1. Fill out registration below

Camp Registration

Camper Info

Parent/Guardian Info

Parent/Guardian Name 1

Parent/Guardian Name 2

Church Info (leave blank if you don't attend a church)

camper photo/video release

2. Emergency Contact

Emergency Contact Form

Camper Info

CAMPER EMERGENCY CONTACT DETAILS:

3. Medical Info./Medical release

Health Declaration

Medical History

Mental, social and Emotional health (check yes or no)

Immunization

Tetanus (DT, DTaP, Td, or Tdap)

Tuberculin Test

What To Bring To Camp

What Not To Bring To Camp

Click here for financial assistance

Steps to register for camp
(Please Submit each of the following 3 forms below)
Junior campers note: if you bring back last years bible you'll receive a surprise