A Christian Classical Hybrid Community
 

Washed and Wild Camp Permission Form

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Summer Camp Permission & Medical Authorization Form

Camp Dates: July 29-31, 2026

Location: Altar Global 2705 Moose Rd, Kannapolis, NC 28083

 

 
1. *

Camper Information- Please List the full name of each camper, their age, and their birthdate.
2. *

Name of Parent or Guardian:
3. *

Phone Number
4. *

Emergency Contact (other than parent or guardian in event you cannot be reached)
5. *

Emergency Contact Phone Number
6. *

Medical Information

Please list any allergies, medical conditions, dietary restrictions, or other information our staff should be aware of (List NA if not applicable):

 
7. 

Current medications (if any):

 

 

Permission to Participate

I give permission for my child to participate in the Arrows & Generations Christian Classical Academy Summer Camp.

I understand this is a church-based day camp featuring typical Day Camp-style activities, including but not limited to:

  • Bible lessons and worship
  • Crafts
  • Games
  • Outdoor play
  • Recreational activities
  • Snacks
  • Team-building activities

I understand that no high-risk or extreme activities are planned.

 

Outdoor Activity Acknowledgment

I understand that some camp activities will take place outdoors during the summer months. Reasonable precautions will be taken to help ensure the safety of all campers, including providing water breaks, shade when available, and encouraging hydration.

I understand there are inherent risks associated with outdoor play, including heat, sun exposure, insect bites, slips, falls, and other minor injuries that may occur during normal childhood activities.

 
8. *

Parent Signature
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
9. *

Signiture Date

 

Medical Authorization

In the event of an emergency, I authorize camp staff to obtain appropriate medical treatment for my child if I cannot be reached immediately.

I understand every reasonable effort will be made to contact me before medical treatment is sought whenever possible.

 
10. *

Preferred Physician Name
11. *

Preferred Physician Phone
12. 

Insurance Company
13. 

Policy Number
14. *

Photo & Video Permission

Please select one:

 

 (1 required)
YES, I give permission for my child to be photographed or recorded during camp activities. These images may be used by Arrows and Generations Christian Classical Academy for promotional, educational, or social media purposes. NO, I do not give permission for my child to appear in photographs or videos.

 

Liability Acknowledgment

I understand that while every reasonable precaution will be taken to provide a safe environment, participation in camp activities involves normal risks associated with children’s play and recreation.

I agree not to hold Arrows, Generations Christian Classical Academy, the host church (Altar Church, Altar Global), or their staff, volunteers, or ministry leaders liable for injuries resulting from ordinary accidents or inherent risks associated with participation in routine camp activities, except in cases of gross negligence or willful misconduct.

 
15. *

Parent/Guardian Signature

I have read and understand this Permission and Medical Authorization Form and voluntarily grant permission for my child to participate.

 
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
16. *

Signiture Date
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