Logo    Flaming Spirit Christian Service Camp
    



All Fields Required
Entering the same email and password for all of your children will save you from having to log in multiple times to edit camper information later.
Email:
Password:
 
Camp Week:
First Name:
Middle Name:
Last Name:
Address:
City: State: Zip Code:
Phone:
Gender:
Date of Birth: / / Month / Day / Year
Shirt Size:
Grade This Fall:
Years Attended This Camp:
Immersed Believer:
Church Attending:

Does your Child have a Chronic health problem, allergy, disease or ailment?

If your child takes prescription medication regularly
then these medications need to be in original containers with
Doctors name, phone number, and address
Please list medications to be administered by the camp Nurse:


May your Child be given acetaminophen, ibuprofen?

Is there any other information we should know about your child's health?

Has your child experienced a serious illness or injury within the past six weeks? If yes, please explain

Please provide contact numbers to be used in case of medical emergency.
Home:
Work:
Cell:   
Other:
Primary person to Contact:
Secondary person to Contact:

Health Insurance Iformation
Company:
Address:
City State Zip:
Group number:
Policy or Member number:

Please verify that the information entered above is correct.
Click the Submit button to continue camp registration.