KidZone Camp 2025

Camp Information

Kidzone Camp is for kids entering 4th or 5th grade in the fall of 2025. This year's camp will be at Mountain Meadows Bible Camp. It is located at 7100 Arrowhead Road, outside of Shingletown, at an elevation of 4,200 feet. Campers can be dropped off at Camp on Thursday, July 31st, at 3:00pm (no early birds, please.) You can pick your camper up on Sunday, August 3rd at 1:00pm. Registration ENDS on July 28th. Camp fills up quickly and space is limited. Sign up early to reserve a spot for your child.

Tell us about your child:

First & Last Name

Gender

Female Male

Grade in the Fall

4th 5th

Special Information to Know About Your Child

Choose two people in the same grade that your child would like to bunk with:

Child's Shirt Size (Shirts are pre-ordered to ensure time for printing. They are given out in order of registration.)

Youth Medium Youth Large Adult Small Adult Medium Adult Large

Parent/Guardian Information

Parent/Guardian Name

Address

Phone

Emergency Phone (We must be able to reach you at all times.)

This address will receive a confirmation email

Other Information

If your child is sick or shows symptoms of being sick (fever, diarrhea, etc.) within one week before camp, please keep them home. Thank you!

I will be responsible to pick up my child from Camp if needed, even early.

I agree

In case of emergency, I give LCC permission to secure necessary medical treatment for my child.

I agree

Photo Waiver

I/we understand that my child may be photographed while participating in the activities of Little Country Church. I/we give permission for a recognizable image of my child to be posted on the Little Country Church websites, bulletin boards, LCC Facebook groups, or used in promotional materials. I understand that the Little Country Church will not include my child’s last name or any identifying information. I understand that a non-recognizable image, such as a group picture, may be posted as well.

Yes No

2025 Medical Release Form

Follow the link below to fill out your 2025 medical release form. PLEASE RETURN TO THIS PAGE once you have submitted your release form and complete your payment and registration!

https://waiver.smartwaiver.com/w/kppyq6bglw6yrmzmr7xzu5/web/

Registration is not complete UNLESS the medical release form is filled out.

I have filled out the medical release form for my child.

Yes

Payment Options

Please note the following for Payment Options: If you need financial assistance, please select "Scholarship Needed" and fill out the "Scholarship Request" portion at the end of this form. If you want to pay in the LCC Office with a check, cash, or card, please select "Pay at Door (a non-refundable deposit is required)."

Payment

Scholarship Request

In an effort to provide financial assistance to as many families in need as possible we provide a wide range of financial assistance options. Please consider the options below carefully and prayerfully.

If you're NOT requesting financial assistance, you do not need to fill this section out.

Students Name

Date

Parent/Guardian Name

Phone

Below is a list of the financial assistance options we have available. You may combine more than one option for your specific situation.

Payment options Payment plans (up to 3 months) Partial Scholarships Full Scholarship

You may combine Options 1 & 2 together if needed.
We have reserved the Full Scholarship option for families under unusual or extreme financial duress. By selecting this option, you will be receiving a phone call from a pastor or ministry director to discuss your specific financial need.

If you selected partial scholarship please fill out how much you can pay...

You can pay your partial payment at camp with check/cash or pay at the church office with card/cash/check.

We can pay...

We need...

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

KidZone Camp 2025

Description

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