Camper Registration - Crusader Youth Camp

I, the camper, am aware of the camp policies and guidelines. I understand that this is a church related camp and that certain standards of conduct will be required of the camper. If accepted, I agree to abide by the camp rules. I agree to demonstrate respect for the camp staff at all times. I understand that if I fail to keep my agreement, I may be asked to leave camp. I give permission to use pictures in which I may appear in camp brochures, flyers or other promotional literature both electronic or published and used by the camp.
Camper Signature*
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Church Name*
Pastor's Name*
As parent/guardian, I have read the Camp Policies and Guidelines and have reviewed them with my child. I accept them and expect my child to abide by them. I will be responsible for any and all property damaged by my child when he/she is at camp. I also understand that CYC provides secondary insurance coverage and will not be liable for any expenses beyond that which is covered by insurance. In case of a simple accident or illness, the camp director may make necessary arrangements. If the accident or illness is serious, I request the camp director to take all necessary steps to insure my child’s health. I give permission to use pictures of my child (as a camper) which may appear in camp brochures, flyers, or other promotional literature—both electronic or published and used by the camp.
Parent/Guardian Signature*
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Date*

Parent/Guardian Information*
Name Home Phone Cell Phone Email

Please list at least one parent/guardian for us to contact if needed.
Emergency Contact Name*
Cell Phone*
Home Phone
Relationship to Camper*
Who will be picking your child up on Friday?*
PLEASE NOTIFY THE CAMP DIRECTOR IF THIS CHANGES.