CAMP APPLICATION

CAMP APPLICATION

CAMP

CAMP APPLICATION

CAMP

CAMP APPLICATION

APPLICATION

APPLICATION

**APPLICATIONS CLOSED**

**APPLICATIONS CLOSED**

**APPLICATIONS CLOSED**

**APPLICATIONS CLOSED**

**APPLICATIONS CLOSED**

Complete and submit your camp application form here, or download the PDF below and bring on registration day.

Complete and submit your camp application form here, or download the PDF below and bring on registration day.

Complete and submit your camp application form here, or download the PDF below and bring on registration day.

Complete and submit your camp application form here, or download the PDF below and bring on registration day.

Complete and submit your camp application form here, or download the PDF below and bring on registration day.

JUNIOR CAMP 2026: JUNE 1-5

TEEN CAMP 2026: JUNE 8-12

JUNIOR CAMP 2026: JUNE 1-5

TEEN CAMP 2026: JUNE 8-12

JUNIOR CAMP 2026: JUNE 1-5

TEEN CAMP 2026: JUNE 8-12

Application Form
Application
Application
Application
Pay Now
Pay Now
Pay Now
Pay Now

* indicates required field

* indicates required field

* indicates required field

* indicates required field

Camper Information

Camper Information

Camper Information

Camper Information

Birthdate *

Birthdate *

Birthdate *

Birthdate *

Home Address:

Home Address:

Home Address:

Home Address:

Payment Method *

Payment Method *

Pay Now
Pay Now

Informed Consent *

Informed Consent *

Informed Consent *

Informed Consent *

Medical Information *

Medical Information *

Medical Information *

Medical Information *

Allergies: Benadryl (Diphenhydramine)

Allergies: Benadryl (Diphenhydramine)

Allergies: Benadryl (Diphenhydramine)

Allergies: Benadryl (Diphenhydramine)

Anti-itch: Ivarest, Caladryl, Hydrocortisone cream, Campho Phenique, Lavender Oil

Anti-itch: Ivarest, Caladryl, Hydrocortisone cream, Campho Phenique, Lavender Oil

Anti-itch: Ivarest, Caladryl, Hydrocortisone cream, Campho Phenique, Lavender Oil

Anti-itch: Ivarest, Caladryl, Hydrocortisone cream, Campho Phenique, Lavender Oil

Decongestant: Sudafed, Peppermint Oil (aromatic)

Decongestant: Sudafed, Peppermint Oil (aromatic)

Decongestant: Sudafed, Peppermint Oil (aromatic)

Decongestant: Sudafed, Peppermint Oil (aromatic)

Indigestion: Mylanta

Indigestion: Mylanta

Indigestion: Mylanta

Indigestion: Mylanta

Pain/fever: Tylenol (Acetaminophen), Advil (Ibuprofen)

Pain/fever: Tylenol (Acetaminophen), Advil (Ibuprofen)

Pain/fever: Tylenol (Acetaminophen), Advil (Ibuprofen)

Pain/fever: Tylenol (Acetaminophen), Advil (Ibuprofen)

Sunblocks/sun burn relief: Lavender Oil, Aloe

Sunblocks/sun burn relief: Lavender Oil, Aloe

Sunblocks/sun burn relief: Lavender Oil, Aloe

Sunblocks/sun burn relief: Lavender Oil, Aloe

Topical Antibiotics: Triple Antibiotic Ointment

Topical Antibiotics: Triple Antibiotic Ointment

Topical Antibiotics: Triple Antibiotic Ointment

Topical Antibiotics: Triple Antibiotic Ointment

Parent/Guardian Contact:

Parent/Guardian Contact:

Parent/Guardian Contact:

Parent/Guardian Contact:

Emergency Contact Other Than Parent:

Emergency Contact Other Than Parent:

Emergency Contact Other Than Parent:

Emergency Contact Other Than Parent:

Payment Method *

Pay Now

Payment Method *

Pay Now

Waiver Form *

Waiver Form *

Waiver Form *

Waiver Form *

Please only read the attached PDF and complete the form below before submitting your application.

Please only read the attached PDF and complete the form below before submitting your application.

Please only read the attached PDF and complete the form below before submitting your application.

Please only read the attached PDF and complete the form below before submitting your application.

Download Waiver
Download Waiver
Download Waiver
Download Waiver

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. CERTIFY THAT I HAVE READ THIS AGREEMENT. THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. CERTIFY THAT I HAVE READ THIS AGREEMENT. THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. CERTIFY THAT I HAVE READ THIS AGREEMENT. THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. CERTIFY THAT I HAVE READ THIS AGREEMENT. THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. CERTIFY THAT I HAVE READ THIS AGREEMENT. THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows:

I HEREBY CERTIFY that I am the parent or guardian of [participant's name], and do hereby give my consent without reservation to the foregoing on behalf of this individual.

I HEREBY CERTIFY that I am the parent or guardian of [participant's name], and do hereby give my consent without reservation to the foregoing on behalf of this individual.

I HEREBY CERTIFY that I am the parent or guardian of [participant's name], and do hereby give my consent without reservation to the foregoing on behalf of this individual.

I HEREBY CERTIFY that I am the parent or guardian of [participant's name], and do hereby give my consent without reservation to the foregoing on behalf of this individual.

I HEREBY CERTIFY that I am the parent or guardian of [participant's name], and do hereby give my consent without reservation to the foregoing on behalf of this individual.

Whoever pursues righteousness and kindness will find life, righteousness, and honor.

Proverbs 21:21

2025 Camp Kupono

| info@campkupono.org

Donate

Whoever pursues righteousness and kindness will find life, righteousness, and honor.

Proverbs 21:21

2025 Camp Kupono

| info@campkupono.org

Donate

Whoever pursues righteousness and kindness will find life, righteousness, and honor.

Proverbs 21:21

2025 Camp Kupono

| info@campkupono.org

Donate

Whoever pursues righteousness and kindness will find life, righteousness, and honor.

Proverbs 21:21

2025 Camp Kupono

| info@campkupono.org

Donate

Whoever pursues righteousness and kindness will find life, righteousness, and honor.

Proverbs 21:21

2025 Camp Kupono

| info@campkupono.org

Donate

Whoever pursues righteousness and kindness will find life, righteousness, and honor.

Proverbs 21:21

2025 Camp Kupono

| info@campkupono.org

Donate