2026 - Summer Camp ABIDE (Regular Registration)

Please Note: At the end of this form, you will be asked to fill out a 2026 Medical/Liability/Marketing Release form. This form is for REGISTRATION & PAYMENT for Summer Camp 2026.

Student Info

Student Name

Address

Date of Birth

Gender

Other Info

Current Grade

School Name

Do you attend South Point Baptist?

If you do not attend South Point Baptist, what church do you attend? (If you do not attend church, put N/A)

Shirt Size (adult sizes)

Small Medium Large XL 2XL 3XL

Roommate Preference #1:

Roommate Preference #2:

Primary/Emergency Contact Info

In case of an emergency, we will contact one or both parents / guardians.

IMPORTANT: DO NOT put your phone on "DO NOT DISTURB" while your student is away at this retreat.

Primary/Emergency Contact: Name (First & Last)

Primary/Emergency Contact: Phone Number

Primary/Emergency Contact: Email

This address will receive a confirmation email

Primary/Emergency Contact: Relationship

Medical History

List or describe any known limitations/illnesses/conditions that our staff should be aware of in the event that medical treatment must be provided.

Physical limitations, Illnesses, or current medical diagnoses

Allergies and Dietary Restrictions

Are you Gluten-Free?

Yes No

Current medication(s) and reason for medication(s)

WAIVERS

We are excited to have your student attending our events. Ahead of the trip, we require that everyone fill out this 2026 Medical/Liability/Marketing Release Form.

CONFIRMATION of signing 2026 Medical/Liability/Marketing Release Form

COMPLETED

Payment

Each child must fill out thier own registration with a minimum deposit of $100 to secure your spot. Final payment for the full amount is due by June 1, unless otherwise worked out.

You may pay the deposit only or the full amount via credit card below.
You may also pay by cash or check.

Families with multiple children attending: The first child is full price, the rest receive a sibling discount.

Payment Method

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2026 - Summer Camp ABIDE (Regular Registration)

Description

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