SayPro Registration Form for the 5 Days Faith-Based Camp.

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SayPro 5-Day Faith-Based Camp Registration Form

Welcome to the registration page for the 5-Day Faith-Based Camp! We are excited to welcome your child to an enriching spiritual journey. Please complete the following form to ensure we have all the necessary information for your child’s participation in the camp.

Camp Dates: [Insert Dates]
Location: [Insert Camp Location]
Duration: 5 Days


Participant Information

  1. Full Name of Participant:
    [Text Field]
  2. Preferred Name/Nickname (if any):
    [Text Field]
  3. Date of Birth:
    [Date Picker]
  4. Age:
    [Dropdown Menu: 5-12 years, 13-17 years, 18+ years]
  5. Gender:
    [Dropdown Menu: Male, Female, Non-binary, Prefer not to say]
  6. Mailing Address:
    [Text Field – Street Address]
    [Text Field – City]
    [Text Field – State/Province]
    [Text Field – Zip Code]
    [Text Field – Country]
  7. Email Address:
    [Text Field]
  8. Phone Number (Parent/Guardian Contact):
    [Text Field]
  9. Primary Language Spoken:
    [Text Field]

Emergency Contact Information

Please provide the contact details of an emergency person who can be reached during the camp, in case of any urgent situations.

  1. Emergency Contact Name:
    [Text Field]
  2. Relationship to Participant:
    [Text Field]
  3. Emergency Contact Phone Number:
    [Text Field]
  4. Secondary Emergency Contact Name:
    [Text Field]
  5. Secondary Emergency Contact Phone Number:
    [Text Field]

Religious & Spiritual Information

We want to ensure that your child’s spiritual needs are met during the camp, so please provide the following:

  1. Religious Affiliation:
    [Text Field]
    (Example: Christianity, Other, None, etc.)
  2. Church or Religious Organization (if applicable):
    [Text Field]
  3. Is your child currently active in a church or faith community?
    [Dropdown Menu: Yes, No, Not Sure]
  4. Has your child participated in any faith-based camps or religious retreats before?
    [Dropdown Menu: Yes, No]
  5. Specific Religious Preferences or Needs (e.g., prayer times, special practices):
    [Text Field]
  6. Is there anything specific we should know about your child’s spiritual journey or needs during the camp?
    [Text Field]

Dietary Requirements and Allergies

Please provide any relevant dietary or health information so we can ensure your child’s needs are met during the camp:

  1. Dietary Restrictions (if any):
    [Text Field]
    (e.g., Vegetarian, Vegan, Gluten-Free, Kosher, Halal, etc.)
  2. Food Allergies (if any):
    [Text Field]
  3. Medical Conditions/Concerns (if any):
    [Text Field]
    (e.g., Asthma, Diabetes, etc.)
  4. Medications (if applicable):
    [Text Field]
    (Please list any medications your child will need during the camp, along with dosage instructions)
  5. Will your child need to take any medications during the camp?
    [Dropdown Menu: Yes, No]
  6. If yes, please provide details:
    [Text Field]

Additional Information

Please provide any additional information that may be helpful for the camp team to know:

  1. Is there anything else you would like us to know about your child (e.g., behavioral, emotional, or social needs)?
    [Text Field]
  2. T-shirt Size (for camp t-shirt):
    [Dropdown Menu: XS, S, M, L, XL, XXL]
  3. How did you hear about the camp?
    [Dropdown Menu: Social Media, Church, Word of Mouth, Other]
  4. Does your child have any special requests or accommodations for their participation in the camp?
    [Text Field]

Authorization and Consent

Please review and confirm the following:

  1. Medical Release Consent:
    By checking this box, I authorize the camp to seek medical treatment for my child if necessary and agree to assume responsibility for all medical expenses incurred.
    [Checkbox: I agree]
  2. Liability Waiver:
    By checking this box, I release SayPro and all associated staff from liability in case of accidents, injuries, or unforeseen circumstances that may occur during the camp.
    [Checkbox: I agree]
  3. Photo/Video Release:
    By checking this box, I give permission for my child’s photo/video to be used in promotional materials, including but not limited to social media, brochures, and the SayPro website.
    [Checkbox: I agree]
    [Checkbox: I do not agree]
  4. Participant’s Code of Conduct Agreement:
    By checking this box, I acknowledge that my child will adhere to the camp’s code of conduct, including respecting camp leaders, participants, and the camp’s values.
    [Checkbox: I agree]
  5. Parent/Guardian Agreement:
    I confirm that the information provided in this form is accurate, and I understand that my child’s participation in the camp is subject to acceptance by the camp team.
    [Checkbox: I agree]

Payment Information

  1. Camp Fee:
    [Text Field – Amount]
    (Please ensure you have completed the payment section through our [Payment Portal Link].)
  2. Discount Code (if applicable):
    [Text Field]

Submit Your Registration

Once you have completed this form, please review the details and click “Submit” to complete your child’s registration for the 5-Day Faith-Based Camp. If you have any questions, please feel free to contact us at [Insert Contact Email or Phone Number].

[Submit Button]


Thank You for Registering!

We look forward to welcoming your child to the 5-Day Faith-Based Camp and providing them with an enriching experience filled with spiritual growth, community service, and fellowship.


This digital form will gather essential details for both logistical planning and ensuring that the camp is tailored to the needs of each participant, offering a safe and spiritually enriching experience.

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