Kootenai Christian Service Camp

Register For Camp

(Required fields are marked with *)

Select a Camp*

Camper Information

(Or enter primary contact person for Family Camp registration)









Parent/Legal Guardian Information

(required for campers under 18)








FOR FAMILY CAMP ONLY

Limited cabin space is available on a first-come, first-serve basis.



MEDICAL RELEASE

Please indicate if the camper has a medical history in any of the following conditions (for 18 and over, please fill out
for self – Do not fill out if registering for family camp):

Drug AllergiesFood AllergiesInsect bites or stingsHeart disease/conditionAsthmaSeizure disorder
DiabetesBehavior DisorderPhysical handicapStomach problemsOther (specify below)






In the event I cannot be reached in an emergency during my child’s attendance at camp, I hereby give my permission to the physician or dentist selected by Kootenai Christian Camp to do what he/she deems to be best and absolutely necessary for my child until such time as I can be reached. I will download, print, fill out, and submit a signed release form along with payment for camp.

YesNo
DOWNLOAD PDF form

A link will also be provided on the registration confirmation page.)

Please verify that an actual person filled out this form by clicking the checkbox below. When the green checkmark appears, click on the “Submit” button.