Camp Inagehi 2026 Camp Registration

Name

Address

Date of birth

Age at time of camp

Sex

Shirt Size

Home Church

Father's Name

Mother's Name

Legal Guardian (if different from above)

Home Phone

Mobile Phone

Work Phone

This address will receive a confirmation email

Parent Employer

Employer Phone

Primary Insurance Carrier

Insurance Policy Number

Insurance Group Name/Number

Emergency Contact

Phone

Relationship

Alternate Emergency Contact

Phone

Relationship

Please list any medications your child will need to take while at camp along with the frequency and dosages. (All medicines must be in original containers and clearly labeled. All medicines must be left with the nurse at registration.):

Please indicate over-the-counter medications that you will allow the nurse to administer to your child:

Tylenol Sudafed Ibuprofen Cough Medicine Mylanta Benadryl None

Please list any medications your child is allergic to:

Please list any other known allergies your child has (foods, bee stings, etc.):

Please list any special dietary needs:

Please list anything else we need to be aware of (phobias, bedwetting, etc.):

Are your child’s immunizations up to date?

Yes No

Date of last tetanus shot

I, the undersigned parent or legal guardian, appoint the Camp Director and his staff as my agent to, in the event of sickness or injury: 1. Administer minor medical emergency aid or treatment which they deem appropriate for my child. 2. Give consent to any emergency medical procedures, tests, or treatments for my child which they shall deem appropriate under the circumstances.

Yes No

Name

Date

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

CAMP 2026 REGISTRATION

July 17 - July 21
Friday – Tuesday

Camp Inagehi
2214 Camp Inagehi Rd, Douglasville, GA 30134

Fun, Friends, and Fellowship
Camp is hosted by West Metro Church of Christ, a non-profit organization. Youth between the ages of 8 - 18 are welcome to be campers, participating in a variety of activities, and meeting old and new friends in a Christian environment. Camp will be held at Camp Inagehi, a rustic, wooded area Douglasville, GA. Activities will include, canoeing, swimming, fishing, basketball, group activities/games, Bible classes, chapel, and a special chapel walk the last night of camp.

What to Bring
Please bring a Bible, bed linens and/or sleeping bag, pillow, flashlight, toiletries, towels, swimsuit, beach towel, athletic shoes, flip flops, rain jacket/poncho, and enough appropriate clothing for two changes of clothes per day. Athletic shoes are required for daily activities.

Dress Code
Shorts or skirts may not be shorter than mid-thigh. Shirts must be long enough to touch pants or shorts whether sitting, standing, or bending. No tank tops or spaghetti straps will be allowed. Camp Director is responsible for interpretation and enforcement of the dress code.

What Not to Bring
Portable video games, radios, tape/DVD players, TVs, cellular phones, electronic devices of any kind, skate- boards, roller blades, etc. Weapons, explosives, tobacco, and drugs are all strictly forbidden.

Dates / Times
Camp begins Friday, July 17 at 1pm and ends Tuesday, July 21 at 2pm.

Cost
$185 per person
$125 per additional child

*The registration fee includes all meals, activities, and a T-shirt.

Camp Inagehi 2026 Camp Registration

Description

Please Fix the Following