Clone of Camp Skybound 2026 Camper Registration Form

Camp Skybound 2026

(Please complete a separate form for each camper)
Welcome to Skybound, an exciting overnight retreat at Blue Grass Christian Camp! Get ready for outdoor adventures, swimming, ziplining, kayaking, team-building competitions, campfires, themed dinner parties, and devoted youth mentoring. For campers ages 10-14 years old.

When:

August 3rd-5th, 2026

Where:

Blue Grass Christian Camp

7463 Athens Boonesboro Rd

Lexington, KY 40509

For questions, please contact Michael Fann at michael@bluegrasschristiancamp.org or visit www.bluegrasschristiancamp.org.
Camper's Name*

Camper's First NameCamper's Last Name

Basic Camper Information
Camper's Date of Birth*

MonthDayYear
Date
Camper's Sex*
Youth SmallYouth MediumAdult SmallAdult MediumAdult LargeAdult XLAdult 2XL

Contact Information
Name of Camper's Parent/Guardian*

Guardian's First NameGuardian's Last Name
Relationship to Camper*
Email*
example@example.com
Primary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name(s) of other campers attending camp who are related to this camper:
A separate form will need to be filled out for each camper.
Camper's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact, Other Than Primary Guardian*

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

Counselor Pairing

Answering as many of these questions as you can will help us best pair your camper with trained staff members and fellow campers. It is ok if you do not have an answer for every question, but the more information you can give us, the better.
What activity at camp is the camper most looking forward to?
What is the camper excited to learn about at camp?
What are some of the camper’s interests/hobbies?
Does the camper play any sports?
Does the camper enjoy arts and crafts?
What kind of music does the camper like?
Does the camper have any favorite books or movies?
What are some of the camper’s skills?
Which subject in school does the camper enjoy the most?
Who are some artists, musicians, mentors, athletes, speakers that the camper would consider role models?
If the camper could be anything when they grow up, who would they be?
What is the camper nervous or concerned about at camp?
Who referred Camp Skybound at Blue Grass Christian Camp to you?

Transportation

Blue Grass Christian Camp will do everything it can to provide transportation if you are not able to do so.
YesNo
Medical and Insurance Information

Fill in all that is applicable. We understand some may not have a Primary Care provider or insurance but any information is helpful in the unlikely event of an injury.
Primary Care Physician Name:

First NameLast Name
Primary Care Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Company, Medicare, Medicaid?
Subscriber's Name
Policy Number:
Group Number:

As The Camper's legal guardian, I certify that I am aware of the inherent risks associated with participating in camp activities and residing on camp property to The Camper. I give The Camper permission to participate in all Blue Grass Christian Camp activities. On behalf of myself and The Camper, I hereby release, covenant not to sue, discharge, and hold harmless, Blue Grass Christian Camp, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services or activities. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, including any COVID or other illness related infection before, during, or after participation in any hosted or programmed event by this organization.*

I agree
In the unlikely event of an emergency, I authorize medical treatment or hospital care to be rendered to The Camper as needed in the judgment of the treating physician chosen by the Blue Grass Christian Camp administrator or a representative working under him. If applicable, I authorize the Blue Grass Christian Camp staff to administer medications as prescribed on the PERMISSION TO ADMINISTER MEDICATION IN CHILD CARE form. I shall be liable and agree to pay all costs and associated expenses incurred in connection with medical and dental services rendered to The Camper that are not covered by the limited policy of the camp facility.*

I agree
I agree
I understand that photos and videos are part of the memory-making elements of the camp experience, and that images of campers may appear in the camp video, Blue Grass Christian Camp website or social media albums, printed promotional materials, or organization/program reports. I agree that The Camper’s image may be used without expectancy of compensation. No personal information will be published without my permission.*

I agreeI do not agree, Camper does not consent
I agree
By entering my name here, this represents my signature and authorization as legal guardian of the above-referenced camper, herein known as "The Camper", and I give my consent to the terms therein. *

Clear
Today's Date*

MonthDayYear
Date

Camp Skybound is FREE

There is no cost to attend Camp Skybound; however, a $20.00 deposit is required to register for Camp Skybound. The deposit is simply used to demonstrate commitment to attending. There are very limited spots available and it is very important that everyone who registers attends. The $20.00 will be refunded in cash to the Caregiver upon dropping off camper at Skybound or when the BGCC driver arrives to pick up camper. If you currently do not have available funds to cover the $20.00 please contact a camp staff member. In addition, if you have a conflict emerge and you cancel enrollment 2 weeks prior to the camp session, the deposit will be refunded.

Camp Deposit*

Camp Skybound Deposit (August 2-5, 2026)

Will be refunded to guardian when camper arrives at camp or is picked up by BGCC worker

$20.00 Quantity

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Should be Empty:

Camp Skybound 2026

Basic Camper Information

Allergies and Medication

Mental Health

Contact Information

Counselor Pairing

Transportation

Medical and Insurance Information

Camp Skybound is FREE

Payment Methods