Summer Camp 2026 will run from June 1st through July 3rd. Ages 5-11. Camp Prices are $135 per week for campers from 7AM-5PM, $100 per week for 8AM-4PM. Registration fee is $40.  T-shirt fee is $10.00.  Registration and donations are now being accepted for camp fees now.  Please see or email Cristanee Minor-Brown, Camp Director at summercamp@goldenmemorialumc.org or the church office for more information.

Click here to make payments conveniently online.  In the donation area of the form, select other and write in Summer Camp.

 

Be sure to also complete the registration form below.

 

 

Summer Camp Registration Form

Kingdom Stars Camp Registration Form

Child(Required)
Gender
Birth DateDate(Required)
Your Address(Required)

Parent/Guardian - Contact Information

Parent/Guardian #1(Required)
Your Address(Required)
Email Address:(Required)
Parent/Guardian #2
Your Address(Required)
Email Address:(Required)

Emergency Contact Information – Alternate Pickup/Release

Emergency Contact #1(Required)
Email(Required)
Emergency Contact #2(Required)
Email(Required)

Medical Release Information

Insurance Information
Address

Please list any medical problems.

Be sure to include any requiring maintenance medication (i.e. Diabetic, Asthma, Seizures).

The purpose for this information is to ensure that medical personnel have details of any medical problem which may interfere with or alter treatment.
Should paramedic be called?
Should paramedic be called?
Should paramedic be called?
Is your child presently being treated for an injury or sickness, or taking any form of medication for any reason?
Is your child allergic to any type of food or medication?(Required)
Does your child require a special diet?(Required)
Guardian Signature:(Required)
Date
Printed Name of Parent/Guardian:


Coordinator Signature

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