KanTex 2024 District Youth Camp Adult Registration

Adult Volunteer Information

Name

This address will receive a confirmation email

Gender

Address

Birth Date

Cell Phone

Have you ever been convicted of a felony or misdemeanor? If so, explain

T Shirt Size

Waiver

I agree to the terms set forth in the waiver below.

ADULT WAIVER

I understand the position I hold as a KanTex Camp adult leader is an honor that comes with great responsibility. I will do my very best to exemplify Christ's love and to conduct myself in a manner that would honor Him and the position I hold with KanTex Camp.

I Agree

I agree to follow the rules set forth by KanTex Camp and will do everything I can to insure that my students follow them as well. (See Security Policy Link Below)

I Agree

CAMP SECURITY POLICY

If I see or have full knowledge of any damages being occurred, I will immediately report this to camp leadership.

I Agree

I will show respect to those in leadership of KanTex Camp including security staff as well as the College's staff and will hold my students accountable to do the same.

I Agree

Medical Information

Emergency Contact Name

Emergency Contact Phone

Name Of Doctor

Phone Of Doctor

Insurance Company

Subscriber Name

Subscriber Date Of Birth

Policy ID #

Group #

Please list any medical information about yourself that your church/KanTex Camp should be aware of.

Please list prescription medications you will be bringing to camp. DRUG NAME, DOSAGE, WHEN TAKEN (BREAKFAST, LUNCH, DINNER, OR BEDTIME), AND ANY COMMENTS CONCERNING EACH MEDICATION.

Please list all over the counter and/or prescription drugs you are ALLERGIC to:

Please list all over the counter drugs you are NOT allowed to have:

A registration confirmation will be sent to the email address provided. Please check your email (including spam folders) before submitting this form more than once. Your email confirmation will include links for the camp packing list and security policy.

Note: Only Parent, Legal guardians or persons 18 years of age or older can enter information for this event.

Description

Please complete a camp registration form for each adult attending.

KanTex Camp is a joint youth camp between several churches of the Kansas and Texas Districts of the Wesleyan Church.

Dates: June 24-28, 2024

Adult Pricing:
1 Registered Student = 1 free adult leader
2-23 Registered Students = 1 free male and 1 free female adult leader
24 Registered Students And Above = 1 free adult registration for every 8 additional registered students
Additional Adult Leaders = $100

Note: A ratio of 1 adult for every 8 students is required for the KanTex camp. Each church recruits their own adult volunteers to chaperone their students and will make cost arrangements per their own policy. Only those adults who have been approved by their church to care for students at KanTex camp may register.

All adults are required to have an up-to-date background check. Your church will assist you in completing this.

KanTex 2024 District Youth Camp Adult Registration

Description

Please Fix the Following