Join us for Adventure on High Seas!

June 21-25, 2020

Attention Trainees:

Sign up and join us for an adventure on the high seas! Mornings will be filled with Bible stories, crafts, snacks, and games as kids learn about what it takes to be a sailor out on open water! The fun and excitement continues into the afternoon with great activities and filed trips!

 

WHO: Children entering K-6th grade [Fall 2021]

WHAT: First Baptist Church Day Camp

WHEN: June 21-25// 9am-4pm 

WHERE: First Baptist Church // 15691 CTY RD K; Darlington, WI 53530

COST: $50 on or before June 21st (scholarships available)

Contact Katie Loken for questions at katie@fbcdarlington.com

 

Print a Paper Registration Form and mail to First Baptist Church; 15691 CTY RD K; Darlington, WI 53530

ONLINE REGISTRATION BELOW!!!

CAMPER 1 INFORMATION

CAMPER 2 INFORMATION

CAMPER 3 INFORMATION

CAMPER 4 INFORMATION

Parent Information

MEDICAL INFORMATION

Please list any medical problems, including any requiring maintenance medication (i.e. Diabetic, Asthma, Seizures).

The purpose of the above listed information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.

Terms of Agreement

I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, xray examination and immunizations for the named camper. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the First Baptist Church Day Camp and its affiliates including Directors, Staff, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

I understand that the First Baptist Church Day Camp will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian.

I hereby give permission for the transportation of my child for official First Baptist Church Day Camp activities by modes of transportation agreed to by the camp organizers.

I hereby give permission for my child to be photographed during the First Baptist Church Day Camp . I understand the photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper and on the internet. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation and that all photos are the property of First Baptist Church Day Camp and its affiliates.

By entering my name below, I acknowledge that the above information is true and accurate to the best of my knowledge, and authorize my child to participate in the Superhero University Day Camp.