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Part of The Christian Camps & Conferences Family
Camper Confidential Form
Confidential Camper Information
(to be completed by the parent)
Date of Birth
Who lives at home?
Name of Sibling 1
Age of Sibling 1
Name of Sibling 2
Age of Sibling 2
Name of Sibling 3
Age of Sibling 3
Name of Sibling 4
Age of Sibling 4
If divorced or legally separated, who has custody?
To Whom may your child be released?
Has your son / daughter previously been to camp?
Name of Camp
What fears, if any, does your child have?
Is your child oversensitive?
If so, in what way?
Camper's Sleeping Habits:
All of the above!
Socializing qualities (mixing, group living, etc.)
Comments on socializing ability
My child is:
Comments on dependency
My child makes friends:
Comments on making friends
Has your child had previous group experiences outside of school?
Which of these?
Were these good experiences?
My child's religious interests are:
Religious Interest Comments
Does your child have a particular attitude, such as insisting on privacy, toward using the bathroom?
We are sending our child to camp for the following reasons:
(check as many as apply)
A summer vacation
Learn to further appreciate the outdoors
To experience camping as you know it
To be part of the positive atmosphere at a Christian camp
An experience in group living
To learn new skills
To have a variety of experiences
For a special reason
What is your special reason for sending your child to camp?
Please list special talents or interests that your child shows evidence of having:
What does your child do with most of his/her spare time?
What kind of problem, if any, are the counselors most likely to have with your child at camp?
What additional suggestions do you have for the cabin counselors?
Has your child had psychological counseling?
if so, for how long and for what purpose?
Additional information or comments, if any:
These questions answered by:
Relationship to camper:
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