Summer Camp 2026
Registration

We can't wait to see you at Summer Camp!

Camper First name

Camper Last name

Camper's Birthdate

Gender Required

Male

Female

Choose your Camp Required

JR Youth (7-11)

SR Youth (12-17)

Camper's Address

Parent's Email

Parent's Name

Emergency Contact Name

Parent Phone Number

Any Allergies?

Yes, listed below

Emergency Phone Number

Is this your first time attending?

Yes

List Allergies or Food Requirements

Does your child take any medications? Our camp nurses keep this information and administer medications as needed. Teens 16+ may self-manage if appropriate, but all details must still be provided for our records and emergencies.

Please indicate any specific medical conditions or past injuries that would require our attention or service

Can your child swim?

Yes

Please list last swimming level achieved:

Are you confident in your Child's swimming abilities? Please tell give us information that could be helpful for our lifeguards:

Anything else we should know about this camper? Does your child have any special needs or health requirements? Please let us know so that we may place them with specially skilled leaders that will enhance their experience.

Cost:
JR YOUTH $125 per camper, $75 for each additional family member
SR YOUTH $175 per camper, $100 for each additional family member

*If you have children in both SR & JR, the SR YOUTH cost applies first, with the additional family member cost applied to each additional child according to their respective costs. (Example 2 SR children & 3 JR Children of the same family would cost $175 for the first SR, 100 for the 2nd SR, and $75 for each JR)

Pay in Person at City Church Lloyd or eTransfer finance@citychurchlloyd.com with the camper's name in the note.

MINOR (CHILD) PHOTO RELEASE
I, the parent/legal guardian of the camper named above grant City Church Lloyd my permission to use photographs for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand no royalty, fee, or other compensation shall become payable to me by reason of such use.

MEDICAL CONSENT AGREEMENT
I, the parent/legal guardian named above authorize the Ministry Personnel of City Church Lloyd to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant (camper) named above. I undertake and agree to indemnify and hold blameless the Ministry Personnel, City Church Llloyd, it's pastors and board from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of City Church Lloyd as well as any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or travelling to events of the City Church Lloyd.

I accept the Minor Photo Release

I accept the Medical Consent Agreement

I want to subscribe to email updates from City Church Lloyd

Your Signature

Thanks for registering. See you there!

Summer Camp 2026 Registration

We can't wait to see you at Summer Camp!

Summer Camp 2026
Registration