Hartman Center Spirit Camp

Camp *Select a camp that you would like to register for

Volunteer Location *Please select the camp you have agreed to volunteer with

Camper First Name *

Camper Last Name *

Date of Birth *

Age *

Parent/Guardian Phone

Participant Phone (if applicable)

Email Address *

Grade Completed *

Gender *

Church *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

T-shirt Size *Please select your t-shirt size

Special InstructionsPlease include any allergies or anything else camp leadership should know

HC Spirit Covenant

This covenant reflects our shared commitment to honor God, respect one another, and create a safe, Christ-centered environment for all participants at HC Spirit 2026. By participating, individuals agree to uphold these expectations and understand that violations may result in disciplinary action.

I acknowledge that community life at HC Spirit is rooted in mutual trust, respect, and Christian Love. I commit to following the social and community expectations and to conduct myself in a manner that reflects the grace and character of Christ. These expectations exist not to restrict, but to protect the spiritual, emotional, and physical well-being of every person in our community.

The focus is on respect, grace, growth, and understanding privileges and rights. Staff will facilitate a guided discussion with each camp to ensure a full understanding of these social expectations.

Discipline will always be handled prayerfully, fairly, and with the goal of restoration, growth, and accountability. Depending on the nature and severity of the behavior, consequences may include (but are not limited to):

Verbal warning and discussion with a camp leader
Temporary loss of privileges
Separation from certain activities
Meeting with camp leadership
Contact with parents/guardians
Dismissal from camp (in serious or repeated cases)

Staff will make every effort to address behavior and ensure the camper has a fun and growth-filled experience. If the steps taken to redirect behavior are unsuccessful, we may contact the family to gather input and determine whether the camper will remain at camp.

Photo Release *I/We give permission for photos of the camper to be taken, which may be shared through social media and other publications.I/We DO NOT give permission for photos of the camper to be taken, which may be shared through social media and other publications.

Participant Signature *

Parent/Guardian(for camper families)

Camper Health History Form

For minors: please use the parent/guardian with legal custody to be contacted in case of illness or injury.

Primary Emergency Contact:

First Name *

Last Name

Primary Phone Number *

Primary Email Address

Street AddressEnter address only if different from the campers address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Relationship to the Camper *

Secondary Emergency Contact:

First Name *

Last Name

Secondary Phone Number *

Secondary Email Address

Street AddressEnter address only if different from the campers address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Relationship to the Camper *

Camper Health History Form

Allergies, Dietary Restrictions, and Physical Restrictions

Allergies *Please list separated by commas or enter "None"

Reactions to allergens *Please specify if there are different reactions to each allergen or enter "None"

Dietary RestrictionsPlease enter your dietary restrictions if applicable

Camper Eats *

I have reviewed the program and activities of camp and feel my camper/myself can participate without restrictions *YesNo

I have reviewed the program and activities of the camp and feel the camper can participate with the following restrictions or adaptations. (Please describe below.)

Camper Health History Form

Medical Insurance and Authorization for Care

This camper is covered by medical/hospital insurance *

Insurance Company

Policy Number

Subscriber

Insurance Company Phone

Name of camper's primary doctor(s) *

Primary Doctors Phone Number *

Authorization for Care

If for religious or other reasons you cannot sign this, contact the camp for a legal waiver which must be signed for attendance.

Signature *

Relationship to Camper *

Camper Health History Form

Immunization History

Diptheria, tetanus, pertussis (DTaP) or (TdaP)

Tetanus booster (dT) or (TdaP)

Mumps, measles, rubella (MMR)

Polio (IPV)

Haemophilus influenzae type B (HIB)

Pneumococcal (PCV)

Hepatitis A

Hepatitis B

Varicella (chicken pox)

Meningococcal meningitis (MCV4)

Tuberculosis (TB) test Date

Tuberculosis (TB)

Coronavirus

Influenza

RSV

Signature

Camper Health History Form

Medication

Daily Medications *This camper will not take any daily medications while attending camp.This camper will take the following daily medication(s) while at camp:

MedicationsPlease enter the medication name, dose, reason for taking, frequency and dose timing, and any special instructions in the below box. Please use one line per medication

Camper Health History Form

General Health History

Has the camper traveled outside of the country in the last 9 months?Please list countries visited and dates of travel

What have we forgotten to ask?Please provide in the space below any additional information about the camper’s health that you think is important or that may affect the camper’s ability to fully participate in the camp program. Attach additional information if needed.

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