1. One registration form will be required per family. Fill in all applicable spaces on the registration form using the "Tab" key to move through the form. Use the "Enter" key to submit the registration form.
2. Registration will need to be completed to the end of all steps before the next family can be registered.
Fill in all applicable spaces on the registration form.
If the “I Agree” button at the bottom of the registration page is not marked then the family will not be registered and the registration will not be completed until a signed paper application is received at Camp Hope.
Southeast Family Camp Number Attending
First Name
Last Name
Address
City
State
Zip Code
Wife's Name
Home Phone Number
Father'sWork Number
Mother's Work Number
Father's Cell Number
Mother's Cell Number
Personal E-Mail Address
Emergency Contact Name
Emergency Home Phone Number
Emergency Work Phone Number
Emergency Cell Phone Number
Relationship
Medical Insurance Company
Insurance Policy Number
Pre-Admission Telephone Number
1. Conduct Code: Camper conduct should adhere to sound moral principles & all camp rules and policies. The presence, use, or display of tobacco, alcoholic beverages, drugs, improper clothing or expressions of profanity or vulgarity will not be permitted. Any camper who violates camp rules, is disruptive or is not cooperative with the camp program or others in attendance is subject to dismissal and forfeiture of fees.
2. General and Emergency Medical Authorizations: I hereby give permission to the first aid personnel selected by camp personnel to determine and provide standard first aid care and administer over the counter medications and medications sent for camper and, in case of emergency, to determine and select outside medical personnel and facilities, and I grant permission to such to order x-ray, make routine test, hospitalize, secure proper treatment for and to order injection and/or anesthesia and/or surgery for this camper.
3. Camper has my permission to attend Camp Hope and engage in all activities except as noted.
4. I accept full responsibility for any damages my camper may cause.
5. Clothing & other personal articles are the responsibility of the campers. No liability is assumed for personal articles left on premises. Lost & found will be donated to a worthy organization two weeks after the closing of each week of camp. For information on Lost & Found, contact Austin Meadows at 678.316.9536.
6. No cell phones, radios, CD/tape players, TV’s, skateboards. These items will be collected to minimize distraction from the spiritual goals of camp and returned at the end of camp.
I have read the content in the attached Camp Hope brochure and camper is knowledgeable of the content and conduct code. The information recorded on the application form is accurate and complete.
Please remember to click one of the buttons below. If the “I Agree” button is not marked then the camper will not be registered and the registration will not be completed until a signed paper application is received at Camp Hope.
I Agree I Do Not Agree
