Kidventure Camp will be held at Camp ToknowHim in Pisgah, AL. (www.camptoknowhim.com). This privately owned camp is a camp experience at it’s best! We will have exclusive use of one entire side of the camp and will be able to use all of the recreation and facilities for just our group. Kids will be able to experience all types of games, crafts, swimming, climbing, and tons of fun and fellowship! 

Contact Jerilyn Winther at Jerilyn@Vintage242.com with any questions. Register below, download the forms HERE, or visit the Connect Board for a paper application. Completed 3rd-5th graders welcome!

Name of child *

Name of child

First Name

Last Name

Preferred name

Birthdate *

Age

Grade completed *

Name of mother/guardian *

Phone number of mother/guardian *

Email Address of mother/guardian *

Name of father/guardian *

Phone number of father/guardian *

Email Address of father/guardian

BEST email address to reach you

Child lives with *

Emergency contact (other than parents) *

Phone number of emergency contact *

Does your child have any special needs we should be aware of (allergies, bed wetting, fear of storms, sleep walking, ADHD, etc)?

Do you have any special concerns?

Does your family attend church? *

yes

no

If yes, where?

Has your child made a personal profession of faith? *

yes

no

Do we have permission to give first aid and/or over the counter medication if we cannot be reached by phone?

Please list each over the counter medications your child takes regularly separately.

Please list any medications your child takes daily. (A nurse's medication sheet will need to be completed as well.)

Will your child have a special friend on the trip he/she would like be with? If so, who?

Thank you!