Champ Camp Registration

Please fill out the form below to register your child for the PowerPlant Champ Camp. We can't wait to have an amazing time with all the kids!

Child's First Name *

Child's Last Name *

Date of Birth *

Grade Level *

Select the grade level your child will be entering in the fall.

I give permission for my child to be included in camp photos/videos that may be used in church promotions.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Contact Phone Number *

Contact Email *

We'll use this email to send you updates about the camp.

Allergies or Medical Conditions

Please list any known allergies Food allergies or medical conditions.

I acknowledge my Permission to Treat

By checking, you agree that the camp staff may authorize medical treatment for your child in case of emergency.

Activities of Interest

I acknowledge Medical Information *

I have completed and submitted all necessary medical and emergency contact information.

I understand that the camp staff may administer basic first aid and contact emergency services if needed.

Medical and Emergency contact information. *

I acknowledge Behavior Expectations *

I understand that respectful behavior is required at all times. Inappropriate conduct may result in dismissal from camp.

I acknowledge Pick-Up and Drop-Off *

I agree to drop off and pick up my child at the designated times.

I will notify camp staff in advance if someone other than the authorized guardian will be picking up my child.

Authorized guardian will be picking - up contact information. *

I acknowledge Liability Release *

I understand that while every precaution will be taken for safety, participation in camp activities involves risk. I release the camp staff and church from liability in case of injury.