CAMP REGISTRATION

Camp Registration - Enrollment is limited - Act Quickly

Full Name
Prefers To be Called
Street Address
State and Zip
Age (cont.)
Male Or Female
Grade Completed and School
Mothers Name
Fathers name
Work Phone
Home Phone
FAX
E-mail

T-Shirt Size

Tshirt

Youth Medium Adult Small Adult Medium Adult large Adult XL Adult XXL ... Product N

Medical Information

Insurance Carrier
Phone
FAX
E-mail
Alternate Emergency Contact

Contact Phone Number Cell and Home

Have you ever attended a Crossfire Camp before

If so  When?

Do you attend Church anywhere?  If So Where?

Please note all meds will be administered by staff/no meds are to be kept in dorm rooms

For Overnight Campers Only:  

Roommate Preference:  Two to a room ( first come first serve)

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Parents Please Read and initial. It is understood that Crossfire Ministries, Inc. reserves the right to require additional information and documentation related to this application to be completed and filed with Crossfire Ministries, Inc. before camp participation is allowed. As a parent of_______________________, age , I represent to Crossfire Ministries, Inc. that said child is free from any physical or mental impairment or condition that would prevent him/her from participating in camp activities. I _______________________ , as parent, further represent to Crossfire Ministries, Inc. that said child has no medical condition that requires medication or medical attention except as hereinafter described (none) or describe condition and medication or medical attention needed. I further assume all responsibility for any possible health problems or accidents which might occur while my child is in camp and will not hold responsible the following parties/organizations: Crossfire Ministries, Asheville Christian Academy, Mars Hill College, Mars Hill Elementary, Trinity Baptist Church, First Baptist Church of Hendersonville or Waynesville Recreation Center.

Please Sign & Date _____________________________________

Specify the Location and date of camp below. _____________________________________