Camper and Teen Volunteer Form | Promise Land Acres

First name

Last name

Teen Volunteer or Camper?

Teen Volunteer

Camper

Age

T-Shirt Size

*while supplies last

Multi-line address

Country/Region

Address

City

Zip / Postal code

Parent's Name

Parent #2 Name

if applicable

I would like to be a parent volunteer

Yes

No

Teen volunteers must attend a MANDATORY orientation

Parent or Guardian Phone #1

Parent or Guardian Phone #2

Email

Additional Contact Info

Does your child have any allergies, special needs, or medical conditions?

Yes

No

If yes, please describe

Alternate Pickup Name

Alternate Pickup Phone

Additional alternate pickup information

The above named person has permission to pick up my child

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Parent's Signature

Date Signed

Month

Day

Year

I understand that during Celebrate Jesus 2026 my child will participate in games, sports, and activities indoors and outdoors, that will involve a reasonable level of exertion, exercise and contact with other children. I hereby authorize my child to participate as may be directed as part of the normal curriculum of the program.

Parent's Signature

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Date Signed

Month

Day

Year

How did you hear about Celebrate Jesus Bible Camp?