Summer Camp Registration Form
A summer camp registration form with a fee calculator — camper and parent/guardian, session selection with prices (auto subtotal + deposit + balance), emergency contacts, medical information and authorization, authorized pickups, photo consent, and a liability acknowledgment with signature.
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Cedar Ridge Summer Camp
SUMMER CAMP REGISTRATION
Camp contact: +1 503 555 0140 · register@cedarridge.example
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CAMPER
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Name: Riley Morgan DOB: April 12, 2015
Entering 6th grade · age 11
Parent/Guardian: Alex Morgan
+1 503 555 0192 · alex.morgan@example.com
Address: 88 Forest Lane, Portland, OR 97211
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SESSIONS & FEES
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• Week 1 — Adventure (Jun 22–26) — $285.00
• Week 2 — Arts (Jun 29–Jul 3) — $285.00
• Extended care (both weeks) (8am–9am & 4–6pm) — $90.00
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Subtotal: $660.00
Deposit paid: $100.00
BALANCE DUE: $560.00
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EMERGENCY CONTACTS
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Sam Morgan (aunt) +1 503 555 0177; Pat Lee (neighbor) +1 503 555 0166.
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MEDICAL INFORMATION & AUTHORIZATION
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Allergy: peanuts (carries EpiPen). Mild asthma — inhaler as needed. No other conditions. Insurance: BlueShield #XYZ123. Tdap up to date.
I authorize camp staff to administer basic first aid and the medications noted,
and — if I cannot be reached in an emergency — to obtain emergency medical care
for my child. I am responsible for the cost of such care.
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PICKUP AUTHORIZATION
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Authorized: Alex Morgan, Sam Morgan. Not authorized: none.
Camp will release the child only to a parent/guardian or an authorized person
(photo ID required).
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PHOTO CONSENT & ACKNOWLEDGMENT
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I consent to my child being photographed/recorded for camp promotional and informational use.
I understand camp activities carry inherent risks; I have completed this form
accurately and agree to the camp's policies. Liability waivers for a minor are
limited in some states; this does not waive claims for gross negligence.
Parent/Guardian signature: _______________________________ Date: ____________
Alex Morgan
About this template
A summer camp registration form has to do four jobs at once — enroll, collect payment, gather safety information, and get parent authorizations — because the camper is a minor and the parent is the one who signs everything. The **sessions and fees** block enrolls and prices the camp: list each session with dates and price, and the form totals them, subtracts the **deposit**, and shows the balance due. The safety core is the **emergency contacts** and the **medical information and authorization** — allergies, conditions, medications, and insurance, plus the crucial clause authorizing staff to administer first aid/medications and to obtain **emergency medical care** if the parent can't be reached. **Pickup authorization** (who may collect the child, who may not, photo ID required) is a safety essential that prevents the most serious incidents. And the **photo/media consent** plus a plain **acknowledgment** of camp policies and inherent risks round it out. A few legal notes worth flagging: camps are state-regulated (licensing, ratios, immunization records), so adapt to your state; collecting children's information implicates privacy norms (and COPPA online for under-13s), so store it securely; and a parent's **liability waiver of a minor's own claims is limited or unenforceable in several states** and never covers gross negligence — so the acknowledgment is worded modestly and you should have your waiver reviewed by counsel. Keep it parent-signed, store medical data securely, and confirm immunization/health-form requirements for your state.
When to use it
- Registering a child for a summer or day camp.
- Collecting session selection, fees, and a deposit.
- Gathering emergency contacts and medical authorization.
- Recording authorized pickups and photo consent.
What to include
- Camper and parent/guardian details.
- Sessions with prices (auto subtotal, deposit, balance).
- Emergency contacts and medical info + treatment authorization.
- Authorized pickups and photo/media consent.
- Acknowledgment and parent/guardian signature.