2026 Camp United Camper Registration

2026 Camp United Camper Registration
Camp United is coming July 26–30 for children completing 2nd–6th grade this spring. It’s a week packed with fun, friendships, worship, and time in God’s Word your child won’t forget.

A $75 deposit is required to secure registration, or you may pay the full $185 at the time of sign-up. If you choose the deposit option, the remaining balance will be due by May 1.

Camper Track Selection

Each camper will be assigned a swimming track, and must select 3 additional tracks.
Track Selection #1*
Track Selection #2*
Track Selection #3*
Track Selection #4 (Back-up Only)*

Parent/Guardian Contact Details

Primary contact information for the parent or legal guardian.
Parent/Guardian Full Name*

First NameLast Name
Relationship to Camper*
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address*
example@example.com
Emergency Contact Information

Provide an additional contact in case of emergency (other than parent/guardian above).
Emergency Contact Full Name*

First NameLast Name
Relationship to Participant*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Medical Information

Help us keep your child safe by providing any relevant medical details.
Does the camper have any allergies?*

NoYes
Please list all allergies:*
Does the camper have any special needs or medical conditions the Camp Nurse should be made aware of?*

NoYes
Please describe any special needs or medical conditions:*
Is the camper currently taking any medications?*

NoYes
1. Parent/Guardian will be required to meet with the Camp Nurse at dropoff/registration.
2. All medication must be in the original pharmacy bottle with medication name and dosage instructions. Camp Nurse will oversee medications for the week.
Please list all medications and dosages:*
Health Insurance Provider
Name of Insured
Group/Policy Number
Physician's Name
Physician's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Consent and Authorization

Parent/guardian must provide consent for participation and emergency treatment.
Upon submission of this 2026 Camp United Registration Form, you will receive links to both the Camp United Consent and Release Form and the PLC Camper Registration Form (from Pickett Lake Camp).

The Consent and Release Form must be printed, signed, and notarized. The completed and notarized form must be returned to Calvary Baptist Church or Cornerstone Community Church no later than May 1.

The PLC Camper Registration Form must also be completed in full.

Registration will only be considered confirmed once all four requirements have been completed and received:
1. This Camp United Registration Form
2. The notarized Consent and Release Form
3. The completed PLC Camper Registration Form
4. Full payment of camp fees ($185) by May 1
Parent/Guardian Signature*

Payment*
prevnext( X )
Camper Registration - Deposit Only
$75.00

Camper Registration - Pay in Full
$185.00

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Camper Track Selection