Whispering Cedars Camper Registration

Camps

Family's/Sponsor's name

Camper Name

Gender

Male
Female

Age

Graduation Year

Phone Number

Address

Bunkmate Requested

First Time Camper

If this is the camper's first visit to WCBC, check this box and the camper will get a $5.00 credit at the camp store.

Family Discount Requested

Check this box if this camper is the 2nd (or 3rd or 4th or more) from your family.

Health Form

Medications Taken Regularly

Allergies

Other Allergies

Any Special Problems or Conditions

Camper is Troubled with Bed Wetting

Date of Child's last Tetanus

In the event of an emergency, you give your permission to take your child to a doctor or hospital for emergency care*

Other Health Comments

Permission for my child to participate in Paintball (Jr. High or older)

Electronic Signature

Agreement

I have read and understand the standards of Whispering Cedars Baptist Camp. I will share these standards with the campers I send and make clear the necessity of following the standards during their entire visit.

I understand that Whispering Cedars carries secondary insurance coverage through Brotherhood Mutual. In order to keep costs down, parent's insurance will pay first and Brotherhood Mutual will pay second.

I grant Whispering Cedars Baptist Camp permission to record my camper through photographs, audio and/or video recordings at any time during the camper's stay, and understand that such recordings may be used by Whispering Cedars Baptist Camp for promotional or other purposes without consultation or remuneration of any kind.

I agree to all statements presented above.*

Coupon Code

Total

$0.00