Home Phone *

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Which meals do you plan on being at camp for? *

Saturday Breakfast

Saturday Lunch

Saturday Dinner

Sunday Breakfast

Sunday Lunch

Sunday Dinner

Monday Breakfast

Accommodation Requests *

We expect a very full camp this summer. Please indicate your accommodation preferences. If you have a tent or trailer you'd be willing to use please indicate that Preference will be given to those attending the whole weekend A male teen cabin & female teen cabin will be available space-permitting

Lodge Cabin Room

Cabin

Teen Cabin Spot Requested

Bringing Trailer

Bringing Tent

No Overnight Accommodation Required

The Camper's Promise *

As a camper at Mount Forest Camp, I fully accept my responsibility to respect Camp rules, fellow campers, camp property, and the authority of Camp leaders and staff. In particular, I understand and will comply with the requirement that the following are not allowed at Camp: weapons, electronic entertainment devices, tobacco products, drugs or alcohol, or any other device or substance that in the Leader’s opinion may injure or otherwise adversely affect my own, or anyone else’s, benefit or enjoyment of the programs at Mount Forest Camp. Parents are responsible for their children at all times, along with any others that join their family for the Fellowship Camp weekend.

I have read & agree with the Camper's Promise.

Release *

I hereby authorize the camper referred to on this form to attend and participate in the Camp indicated on the reverse. I release the Churches of God, Camp Directors, Session Leaders, and staff from all responsibility and liability in connection with any harm which may occur to this camper however caused while at or in transit to or from the Camp. I will promptly advise Camp leaders should this camper develop a harmful communicable disease, or other health problem likely to adversely affect other campers attending Camp. I accept that part of the enjoyment of the normal Camp program relates to the camper participating in risk-taking activities, and such participation does not involve gross or willful negligence by those responsible for the camper. I authorize and accept the risks of the camper being transported to and from camp for off-site components of the camp program in the personal vehicles of the staff, and accept that the camp will attempt to provide the same standard of care for offsite activities as those at the camp site. In the event the camper requires medical attention (including first aid and emergency hospital care) I authorize Camp Session Leaders to act on my behalf to ensure immediate treatment for him/her. I support the Camper’s Promise, and if required I will arrange for pick up from the Camp if Directors determine the camper should leave the Camp. Further, I authorize the person named above to pick up the camper from Camp. I permit the Camp to use audio/video/photographic materials which include the camper in promotional materials or other uses authorized by Camp Directors. I have read this form in full, and accept full responsibility for this camper.

I have read & agree with the statement above.

Allergies *

Participant is allergic to: (list any foods, medication, insect stings, environmental allergies)

Nuts/Peanuts

Bee Stings

Other (please provide details below)

None

Allergy Release *

I accept that the Camp is not a "peanut free" facility and that the Camp cannot provide assurance that there will be no exposure of the camper to new or previously identified allergens.

Yes

Does this participant carry an EPI-PEN? *

Yes

No

Agreement *

By completing this form, all relevant health and medical information for the listed participant has been communicated to Mount Forest Camp. NOTE: Information disclosed on this form may be communicated to the appropriate camp staff at the discretion of the Head First Aid Officer.

I, the Parent/Guardian (for minors) or Participant, agree with the statement above.