Limitless Children's Bible Camp Registration
Please fill out this form completely and submit to reserve your spot for camp!
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Registration has reached maximum capacity! If you would like to be placed on the waitlist, fill out this form by July 1st and we will contact you if openings become available. Thank you!
Church Name *
If your church was not listed, please write it in here!
If you are registering as a chaperone... *
I acknowledge that I am over the age of 18 and consent to submitting a background check. Please contact Ryan Seaman (Ryan.Seaman@walnutmemorial.org) for more details.
Required
Parent/Guardian Name (Chaperones may list themselves) *
Student Name (Chaperones may list themselves) *
Phone Number *
Email Address *
Home Address *
Grade Level Entering *
What grade will your camper be in Fall 2023?
Gender *
Activity Preferences (Campers Only)
Please select your top five choices for activities and rank them in order of preference, #1 being the most preferred and #5 being the least. Each camper will be assigned to their activities for the week based on availability and preference!
#1
#2
#3
#4
#5
Drama & Creative Ministry
Music
Crazy Crafts
Basketball
Soccer
Field Games
Fishing
Archery
Surviving the Outdoors
Understanding the Bible
Can the camper swim? *
Any Allergies, Asthma, or Other Medical Conditions
If your camper takes medication, please list with instructions.
Other health or care information the camp staff may need to know:
Physician's Name *
Physician's Contact Number *
Name of Primary Insurance Policy Holder *
Name Insurance Provider *
Insurance Policy Number *
You will be required to send a copy of the insurance card with your chaperone.
I give my authority and consent for any first aid treatment that may be required according to the judgment of the Schafer Baptist Camp Administration. In the case of an emergency, medical or surgical treatment can be given by physicians, nurses, and other medical personnel selected by Camp Director to hospitalize, secure proper treatment for, and to order injections, anesthesia or surgery for the above named child. I understand that limited secondary accident and illness coverage is provided. Furthermore, I release the Daviess McLean Baptist Association, camp directors, camp pastors, camp counselors, and Camp Schafer staff from any liability or responsibility for accidents or incidents during camp. I understand I will be contacted in the case of an emergency according to the information I have provided. In the event that I cannot be reached in an emergency, camp personnel will contact the Emergency Contact listed below. By agreeing to this policy, I am also giving consent for myself and/or my child to be included in photos, videos, and other publications in connection with the camp. *
Required
Emergency Contact Name and Phone Number *
T-Shirt Size *
Please contact the leader of your church's group regarding payment of the $170.00 camp fee. Each church is responsible for collection of camp fees and must submit them to the Camp Director, Ryan Seaman, upon arrival at the camp. Each church must provide payment in the form of a single check made out to the Daviess McLean Baptist Association.

Upon submission of this form, your registration for camp is complete pending the processing of your camp fees. In other words, once you hit the submit button, you're all signed up and ready to go!

Keep an eye out for more information regarding camp on social media and in your church bulletin! We are excited to see what God will do this year at Camp Limitless!
*
Registration closes after July 2nd, 2023
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