Kids Camp 2025

Please fill out this form and click submit.

It is that time of year for all of our 1st-5th graders, we are so excited for Kids camp! The dates are July 28th-31st! We will be going to Big country Baptist Assembly in Leuders. The camp pastor is Cory Devivo and worship is HSU chapel band. The cost of the camp is $125 per camper. We can’t wait for your children to get to experience this time in the presence of the Lord. Get them signed up and we will have a parent meeting closer to July.

Student & Parent/Guardian Information Form

Student Name

Student Gender

Please select one option.

Male Female

Student Grade

Please select one option.

1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Student Shirt Size

Please select one option.

YL XS Small Medium Large XL 2XL

Parent/Guardian Name

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Parent/Guardian Address

Parent/Guardian Relation to Student

Please select one option.

Mother Father Grandparent Other

Parent/Guardian Signature

Medical Release Form

The following questions will allow for us to gather medical information on your student. Please fill in the approprite blanks and answer the questions required.

Does your student have any allergies? (If Yes, give a detailed list. If No, respond with

In case of an emergency involving your student, do we have permission to make medical decisions on you behalf in the event that you cannot be contacted in a timely manner or at all?

Please select one option.

Yes No

Parent/Guardian Signature

Behavioral and Disciplinary Conduct Form

We want Camp to be a fun and important time for everyone. We want everyone to be able to have a blast and also hear from God and understand what he is trying to speak to each and every one of the students that attend. That being said, there will be behavioral guidelines and rules set in place. Please make sure to abide and listen to any rules or guidelines that are asked or required of you. This is for the saftey of all staff, volunteers, and students involved in Camp.

Parent/Guardian and Student have read and both agree to follow and abide by the form above?

Please select one option.

I Agree

Parent/Guardian Signature

Student Signature

Payment

Payment $125

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Kids Camp 2025

Description

Please Fix the Following