Ignite Summer Camp 2026

Parent/Guardian Information

Name

This address will receive a confirmation email

Phone

Address

Preteen #1:

Name (First & Last)

Date Of Birth

Grade (the grade they are entering in September 2026)

Shirt Size, (adult sizing, not youth/junior)

Please list and explain any medical concerns, allergies, or neurodivergent diagnosis

I, the parent or guardian, authorize the ministry staff of Family Christian Centre to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the child named above. I undertake and agree to indemnify and hold blameless the ministry staff and volunteers, Family Christian Centre, its Pastors, and Pastor’s Council from and against any loss, damage or injury suffered by my child as a result of being part of the programs of Family Christian Centre as well as of any medical treatment authorized by the supervising individuals representing the church. I have read, understood and agree with the above and sign it to cover my child’s participation in youth program.

I give consent I do not give consent

I grant permission to Family Christian Centre, its agents, and its employees the irrevocable and unrestricted right to produce photographs and video containing my child while participating at Youth Program, for purposes such as publication, promotion and advertising.

I give permission I do not give permission

Parental permission is required for a preteen/youth to leave the premises without being dropped off or picked up by a parent/guardian. Do you grant permission for your child to leave Family Christian Centre premises without being signed out by a parent?

I give permission I do not give permission

Pre-Teen #2:

Name (First & Last)

Date Of Birth

Grade (the grade they are entering in September 2026)

Shirt Size, (adult sizing, not youth/junior)

Please list and explain any medical concerns, allergies, or neurodivergent diagnosis

Pre-Teen #3:

Name (First & Last)

Date Of Birth

Grade (the grade they are entering in September 2026)

Shirt Size (adult sizing, not youth/junior)

Please list and explain any medical concerns, allergies, or neurodivergent diagnosis

Camp Rules Agreement

CAMP RULES:

1. Campers must be responsible for getting a ride to and from the camp daily.

2. Phones are highly encouraged to stay at home or will be taken from the start until the finish of the camp day. We want students to be present without distractions throughout the camp. If a student wishes to contact a parent, their phone will always be accessible.

3. Students cannot leave campgrounds/activities without parent permission and without letting a leader know; campers who cannot honor this rule will be given a warning first; second time will call for going home for the day and third time will be “banned” from camp with no refunds (must communicate this with parent).

4. Campers are responsible for bringing their everyday needs, such as a water bottle, sun screen, runners, towel (for water games), and change of clothes (for water games).

5. Any damage to property or equipment caused by a student (with more than one other witness) must be paid by the student's family.

BY CHECKING THIS BOX, I HAVE READ AND AGREE TO THE LISTED RULES & EXPECTATIONS.

Yes, I agree

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Ignite Summer Camp 2026

Description

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