FLAGS CAMP Application

F.L.A.G.S. CAMP APPLICATION

June 9-20, 2025
Please note that due to the growth of our FLAGS camp we now have to limit this camp to 20 campers. Therefore, the process of this camp has changed.

After sending in your FLAGS camp application, we will review your application and reach out to you to let you know if we have accepted your application.

When we send you your acceptance letter, you will receive a link to a separate form that would allow you to pay your registration fee or the full camp fee.

Please contact the camp office if you have any questions!
Camper Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Grade in September*
Gender*

MaleFemale
Camper Phone Number (if applicable)
Please enter a valid phone number.
Camper Email (if applicable)
example@example.com
Home Address*

Address

Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information
Name*

FirstLast
Relationship to Camper*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Address

Address Line 2

CityState / Province

Postal / Zip Code
Employer*
Work Phone Number*
Please enter a valid phone number.
Email
example@example.com
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Church Information
Home Church Name
Pastor

FirstLast
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church I'm Coming With (if different)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Insurance Information
Medical Insurance Company
Policy Number
Group Number
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact
Name*

First NameLast Name
Relationship to Camper
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address

Address

Address Line 2

CityState / Province

Postal / Zip Code

Authorized Person to Pick up Camper

(Authorized people can be parents/guardians or any one else the parents/guardians authorize to pick up their campers. Please include the church if they will be taking your child home. If there is more than one person, please list all options in the additional information section.)
Authorized People*

Just parentsChurchSomeone other than parents
Name

First NameLast Name
Relationship to Camper
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Address

Address Line 2

CityState / Province

Postal / Zip Code
Any additional information concerning authorized/unauthorized people for camper pick up:

Medical History
List any communicable diseases the camper has had: (such as hepatitis, measles, mumps, meningitis, diphtheria, rubella, salmonella, tuberculosis, giardia, or shigella)*
List any serious illnesses the camper has had: (such as Diabetes, Asthma, Mononucleosis, Epstein-Barr Virus, RSV, Leukemia, Juvenile Rheumatoid Arthritis, Cytomegalovirus, other)*
List any surgical operations the camper has had:*
List any known drug reactions and/or allergies for this camper:*
Will your child be bringing any medication with them to camp?*

YesNo
ANY MEDICATIONS TO BE TAKEN AT CAMP MUST BE IN THE ORIGINAL CONTAINER, AND ALL MEDICATIONS (OTHER THAN TYLENOL, ADVIL, AND CLARITIN) MUST COME WITH THE DOCTOR'S INSTRUCTIONS IN ORDER FOR THE NURSE TO BE ABLE TO ADMINISTER THE MEDICINE TO THE CAMPER. (Please reference frequently asked questions [for parents] on our website for more instructions about bringing prescribed medications.)

Understand and agreeDisagree
List all medications currently being taken by the camper: *
ANY MEDICATIONS TO BE TAKEN AT CAMP MUST BE IN THE ORIGINAL CONTAINER AND ALL MEDICATIONS (OTHER THAN TYLENOL, ADVIL, AND CLARITIN) MUST HAVE DOCTOR'S INSTRUCTIONS IN ORDER FOR NURSE TO BE ABLE TO ADMINISTER TO THE CAMPER.
Specify any special diet the camper is to be on at the time of admission to TMBC:*
Activity Exceptions:*
Primary Doctor/Office*
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Sunscreen Permission
I give my permission for the staff at Treasure Mountain Bible Camp to assist with applying or to apply sunscreen to my child's exposed skin including the face, tops of ears, and bare shoulders, arms, legs and feet 30 minutes before outdoor activities. It is my responsibility to provide sunscreen with a minimum SPF of 15. I understand I must provide the sunscreen in its original container labeled with my child’s name and within the noted expiration date. Sunscreen will not be applied to any broken skin or if a skin reaction has been observed. Any skin reaction observed by staff will be reported promptly to the parent/guardian.
Special Instructions
Parent/Guardian Signature*

Clear
Today's date

MonthDayYear
Date

General Release Form
I hereby give permission for my child to attend and participate in all of Treasure Mountain Bible Camp’s activities on/off the camp property. I hereby absolve Treasure Mountain Bible Camp from liability to me or my child because of an injury received while attending camp at Treasure Mountain Bible Camp. In case of any accident or serious illness, I hereby authorize Treasure Mountain Bible Camp to call upon a physician of their choice and to follow their instructions. If emergency treatment or hospitalization is required, I request Treasure Mountain Bible Camp to notify me. I also understand, if my child is sent home for any reason, there will be no refund. I also understand that my camper’s picture or testimony may be used in the promotion of the camp.
Signature*

Clear
Today's date

MonthDayYear
Date

Immunization & Doctor's Physical

(If we already have these documents, please continue to the next page)
Immunization Records or Exemption Form

Cancelof
Doctor's Physical from the last 24 months

Cancelof

IMPORTANT NOTE
Please note that due to the growth of our FLAGS camp we now have to limit this camp to 20 campers. Therefore, the process of this camp has changed.

After sending in your FLAGS camp application, we will review your application and reach out to you to let you know if we have accepted your application.

When we send you your acceptance letter, you will receive a link to a separate form that would allow you to pay your registration fee or the full camp fee.

Please contact the camp office if you have any questions!
I have read and understand the above statements.*

YesNo
Pastor's Recommendation

You may also have your pastor email his recommendation to office.tmbc@gmail.com
Cancelof
IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL, WE DID NOT RECEIVE YOUR RESPONSE.
Should be Empty:

F.L.A.G.S. CAMP APPLICATION

Camper Information

Parent/Guardian Information

Church Information

Insurance Information

Emergency Contact

Authorized Person to Pick up Camper

Medical History

Sunscreen Permission

General Release Form

Immunization & Doctor's Physical

IMPORTANT NOTE

IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL, WE DID NOT RECEIVE YOUR RESPONSE.