Registration for Middle & High School Kamp Kimbriel (June 9-13) Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastStudents Cell Phone NumberIf you would like your child to receive reminders and updates about camp please include their phone number. NO DASHES. Grade Entering in Fall of 2025 *7th8th9th10thParent's Name *FirstLastParents Phone Number *Please Enter with no dashesText Message Reminders & Updates *YesNoSelect Yes if you would like reminders about camp and what to bring. This will also include daily Text messages the week of camp to let you know what your child did that day at camp. Parents Email *1st Emergency Contact Name *1st Emergency Contact Phone Number *Please enter with NO DASHES2nd Emergency Contact Name *2nd Emergency Contact Phone Number *Please Enter with NO DASHES amount Needed Permitted Allergies *We will be serving Breakfast and Lunch. Please let us know what if any allergies your child has. If None type NONE in the box above.If Needed Are We Permitted To Give Your Child Tylenol *YesNoIf Needed Are We Permitted To Give Your Child Ibuprofen? *YesNoIf Needed Are We Permitted To Give Your Child Sunscreen *YesNoScholarship Needed *YesNoIf you need a scholarship please enter amount that you need. Additional Information We Should KnowSubmit
