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Sr. High Camp Registration & Pay

Camper Information

Birthdate
Gender
Male
Female

Medical Information

In case of emergency, the camper’s personal health insurance will be used before Camp Selah’s coverage.

If food allergies please specify severity
Health history check all that apply

Camper Release Information

Michigan state regulations require the name of the person(s) to whom we may release your child in the event of parent/guardian absence. A photo ID must be provided upon request. In the event of an early pick up, parents/guardians must notify the camp director ahead of time.

Parental Agreement

“I understand my child will be served by Camp Selah whose mission exalts Jesus Christ through creative programming, a safe and loving atmosphere and gracious hospitality, and a motto which is “Christ Above All.” I hereby certify that the above information is correct, and give permission for the use of photographs or videos including my child to be used in camp publicity, and for the release of medical records in case of illness or injury. In the event that my child's emergency contact cannot be reached, I hereby give permission to the physician selected by Camp Selah to give emergency medical or surgical treatment and routine non-surgical medical care to my child.”

Choose Your Own Payment
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