Camp Respect

Camp Respect Registration

Five Star Life Programs at SUMMIT - 2026
Registration Availability is Limited!

First Come, First Claimed!

Camp Respect is a free camp experience at Summit for students, 3rd grade and older, who are children of active or former military service members. It is our pleasure to serve the families of those who have served or who are currently serving in our military.

This opportunity at Summit includes our character, leadership, and mindset curriculum, our experiential learning centers, and meals. This is a free camp at Summit, with lodging and meals provided. We invite you to come and experience all that Summit has to offer!

Date(s) and Times:
- Student Overnight Experience:
  - Wednesday, July 29th - Friday, July 31st
  - 9am (Wed.) - 5:30pm (Fri.)
  - Open to the First 30 Students to Register
  - 6th - 12th Grade Students Only
- Student Day-Camp Experience:
  - Wednesday, July 29th - Friday, July 31st
  - 10am-5:30pm Each Day
  - 3rd - 12th Grade Students
Cost: FREE!

Who: Students who are children of active or former military service members.

Five Star Life Office: 574.266.4038

Email: events@fivestarlife.org
Please share how and why you believe your family would qualify for this camp experience.
Student Information
Student Name

First NameLast Name
Gender
Grade
Birthdate

MonthDayYear
Date
Address (Primary Residence)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Parent/Guardian

First NameLast Name
Phone Number
Format: (000) 000-0000.
Parent/Guardian E-mail (this is used to send updates with schedules, events and curriculum)
Address (Primary Residence)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact Number
Format: (000) 000-0000.
Health History

Submit for Student
NOTE: All PARTICIPANTS must have an up-to-date signed Health History Form as well as Assumption of Risk, Liability Release, Indemnity Agreement, Picture and Video Waiver and Release to participate in any leadership experience at Summit.

PLEASE READ AND ANSWER THE QUESTIONS BELOW: This form is intended to remind leaders and participants of the seriousness of attempting adventure activities with an old preexisting injury, a heart condition, or other condition which might be aggravated by the event. Please connect with a Summit facilitator if you need to share any additional and pertinent information.
1. Any preexisting injuries (ankle, neck, back, knee, wrist, shoulder, etc.) that might be aggravated by participating?
Explain.
2. Taking any current medications?
Explain.
3. Any heart problems or medications?
Explain.
4. High blood pressure?
Explain.
5. Any allergies (bees, insects, medications, etc.)?
Explain.
6. Any physical limitations?
Explain.
7. Any special dietary needs?
Explain.
8. Current level of activity back at home?
Please include any additional information that you feel is relevant.
8. Immunization status up-to-date?
Please include any additional information that you feel is relevant.
9. Any other special health or behavioral considerations?
Please include any additional information that you feel is relevant.
Emergency Medical Release

Submit for Student
Liability Release

Submit for Student
Parent/Guardian Signature
Program Selection

Select which program option your student will be participating in.

Availability is limited. Overnight experience students, please select the option suitable for your grade and gender.

Please note: dates/programs are subject to change based on enrollment and availability. If changes occur, you will be notified in advance.

Questions? Call us at 574.266.4038 or email us at events@fivestarlife.org
Should be Empty:

Camp Respect Registration

Student Information

Parent/Guardian Information

Health History

Emergency Medical Release

Liability Release

Program Selection

Availability is limited. Overnight experience students, please select the option suitable for your grade and gender.*

Payment Methods

Availability is limited. Overnight experience students, please select the option suitable for your grade and gender.