{"id":195,"date":"2025-01-29T14:44:06","date_gmt":"2025-01-29T14:44:06","guid":{"rendered":"https:\/\/circleoffaithministries.net\/?page_id=195"},"modified":"2026-02-07T03:56:54","modified_gmt":"2026-02-07T03:56:54","slug":"elementor-page-195","status":"publish","type":"page","link":"https:\/\/circleoffaithministries.net\/?page_id=195","title":{"rendered":"Camp Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"195\" class=\"elementor elementor-195\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-102b95f e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"102b95f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5593e54 elementor-widget elementor-widget-text-editor\" data-id=\"5593e54\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1><strong>2026 Camp Registration<\/strong><\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bba0dc8 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no e-con e-parent\" data-id=\"bba0dc8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-26f1f06 elementor-widget elementor-widget-wpforms\" data-id=\"26f1f06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-container-quiz wpforms-render-modern\" id=\"wpforms-200\"><form id=\"wpforms-form-200\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"200\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F195\" data-token=\"5900badf1395b692551daa859090e913\" data-token-time=\"1776866407\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-200-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-200-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-200-field_1-error\" required><label for=\"wpforms-200-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-200-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-200-field_1-last-error\" required><label for=\"wpforms-200-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-200-field_21-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-200-field_21\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][21][address1]\" aria-errormessage=\"wpforms-200-field_21-error\" required><label for=\"wpforms-200-field_21\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-200-field_21-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][21][address2]\" aria-errormessage=\"wpforms-200-field_21-address2-error\" ><label for=\"wpforms-200-field_21-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-200-field_21-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][21][city]\" aria-errormessage=\"wpforms-200-field_21-city-error\" required><label for=\"wpforms-200-field_21-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-200-field_21-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][21][state]\" aria-errormessage=\"wpforms-200-field_21-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-200-field_21-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-200-field_21-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][21][postal]\" aria-errormessage=\"wpforms-200-field_21-postal-error\" required><label for=\"wpforms-200-field_21-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-200-field_20-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_20\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-200-field_20\" class=\"wpforms-field-small wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][20]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-200-field_20-error\" required><\/div><div id=\"wpforms-200-field_7-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_7\">Gender <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-200-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >Female<\/option><\/select><\/div><div id=\"wpforms-200-field_22-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-small\"><select name=\"wpforms[fields][22][date][m]\" id=\"wpforms-200-field_22-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\" aria-label=\"Month\"  required><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][22][date][d]\" id=\"wpforms-200-field_22-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\" aria-label=\"Day\"  required><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][22][date][y]\" id=\"wpforms-200-field_22-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\" aria-label=\"Year\"  required><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-200-field_9-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_9\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-200-field_9\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][9]\" step=\"any\" aria-errormessage=\"wpforms-200-field_9-error\" required><\/div><div id=\"wpforms-200-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_12\">Does your child have any allergies or medical conditions? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-200-field_12\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-200-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_14\">List Allergies and or Medical conditions<\/label><input type=\"text\" id=\"wpforms-200-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-200-field_14-error\" ><\/div><div id=\"wpforms-200-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_13\">Does your child take any medications? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-200-field_13\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][13]\" required=\"required\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-200-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_15\">List of Medications<\/label><input type=\"text\" id=\"wpforms-200-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-200-field_15-error\" ><\/div><div id=\"wpforms-200-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_16\">AUTHORIZATION FOR TREATMENT<\/label><input type=\"text\" id=\"wpforms-200-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" placeholder=\"Sign Here if you consent\" aria-errormessage=\"wpforms-200-field_16-error\" aria-describedby=\"wpforms-200-field_16-description\" ><div id=\"wpforms-200-field_16-description\" class=\"wpforms-field-description\">This health history is correct to the best of my knowledge, and the person herein named has permission to engage in all camp activities except as noted. I hereby give permission and authorize the medical provider selected by the Camp Director\u00a0to secure or administer emergency medical treatment, including medical transportation and hospitalization and any other emergency medical procedures and services which may be needed for the person named herein. It is understood that this consent is given in advance of any specific diagnosis or treatment being required, and is given to encourage those persons who have temporary custody of the minor, and said medical provider or dentist to exercise their best judgment as to the requirements of such diagnosis or medical, dental or surgical treatment. In addition, I authorize camper to carry emergency medications and use as directed.\n\nI agree to remain fully liable and responsible for the payment of any such hospital, doctor, medical transportation, dental or medical fees. I further agree that in giving this permission and authorization, Circle of Faith Ministries does not assume any responsibility or liability for the payment of such hospital, doctor, medical transportation, dental or other medical fees which may be incurred. The completed forms may be photocopied and maintained by authorized personnel as needed including trips out of camp.<\/div><\/div>\t\t<div id=\"wpforms-200-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-200-field_2\" >Medical Address child<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-200-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-200-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-200-field_17\">WAIVER OF LIABILITY<\/label><input type=\"text\" id=\"wpforms-200-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" placeholder=\"Sign Here if you consent\" aria-errormessage=\"wpforms-200-field_17-error\" aria-describedby=\"wpforms-200-field_17-description\" ><div id=\"wpforms-200-field_17-description\" class=\"wpforms-field-description\">In exchange for participation in Circle of Faith Church Camp, I hereby agree as follows:\n\nI release and forever discharge Circle of Faith Ministries and Koinonia Farms from causes of action of any nature and kind, known and unknown, arising out of or relating to any injury, loss or damage to person and property that may be sustained as a result of participating in camp activities.\n\nI understand that my child\u2019s participation in camp activities involves inherent risks, including risk of physical or psychological injury, pain, suffering and illness, and I assume all related risks and allow my child to voluntarily participate in camp activities.\n\nThis Release shall be binding upon the parties and their respective heirs. This Release may not be altered, amended or modified, except by a written document signed by both parties.\n\nI have carefully read and fully understand all the provision of this Release and am freely, knowingly and voluntarily entering into this Release.<\/div><\/div><div id=\"wpforms-200-field_18-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-type=\"checkbox\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">AUTHORIZATION FOR OVER-THE-COUNTER MEDICATIONS<\/legend><ul id=\"wpforms-200-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Acetaminophen (Tylenol)\" aria-errormessage=\"wpforms-200-field_18_1-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_1\">Acetaminophen (Tylenol)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_2\" name=\"wpforms[fields][18][]\" value=\"Ibuprofen (Motrin)\" aria-errormessage=\"wpforms-200-field_18_2-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_2\">Ibuprofen (Motrin)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Antibiotic Cream (for minor cuts\/scrapes)\" aria-errormessage=\"wpforms-200-field_18_4-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_4\">Antibiotic Cream (for minor cuts\/scrapes)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_5\" name=\"wpforms[fields][18][]\" value=\"Claritin\" aria-errormessage=\"wpforms-200-field_18_5-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_5\">Claritin<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_6\" name=\"wpforms[fields][18][]\" value=\"Calamine Lotion (for itching)\" aria-errormessage=\"wpforms-200-field_18_6-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_6\">Calamine Lotion (for itching)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_7\" name=\"wpforms[fields][18][]\" value=\"Benadryl\" aria-errormessage=\"wpforms-200-field_18_7-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_7\">Benadryl<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_18_8\" name=\"wpforms[fields][18][]\" value=\"I do not want over-the-counter medications given to my child\" aria-errormessage=\"wpforms-200-field_18_8-error\" aria-describedby=\"wpforms-200-field_18-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_18_8\">I do not want over-the-counter medications given to my child<\/label><\/li><\/ul><div id=\"wpforms-200-field_18-description\" class=\"wpforms-field-description\">In the event your child experiences minor discomforts during camp, we would like the opportunity to make your child as comfortable as possible. Therefore, below is a list of over-the-counter medications that can be administered by Circle of Faith Ministries personnel with your authorization. These medications are approved by the Circle of Faith Ministries Medical Director using the recommended doses from the manufacturers. The below approved medications are intended for occasional use only. I consent to the administration of the below indicated over-the-counter medications which will be available, at no charge, for all campers. Please make available the following medications to my child (check all that apply). If they are NOT checked they WILL NOT be given to the camper.<\/div><\/fieldset><\/div><div id=\"wpforms-200-field_19-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">Photo consent<\/legend><ul id=\"wpforms-200-field_19\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-200-field_19_1\" name=\"wpforms[fields][19][]\" value=\"Check if you give Circle Of Faith Ministries permission to use your child&#039;s photo on our website or social media.\" aria-errormessage=\"wpforms-200-field_19_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-200-field_19_1\">Check if you give Circle Of Faith Ministries permission to use your child's photo on our website or social media.<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-200-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-200-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-200-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"200\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/pages\/195\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-200\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" loading=\"lazy\" src=\"https:\/\/circleoffaithministries.net\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-843df48 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"843df48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/circleoffaithministries.net\/?post_type=product\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Camp Store<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>2026 Camp Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Name * FirstLast Address * Address Line 1Address Line 2City&#8212; Select state &#8212;AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Phone * Gender *MaleFemale Date of Birth * MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Age *Does your child have any allergies or medical conditions? *YesNoList Allergies and or Medical conditionsDoes your child take any medications? *YesNoList of MedicationsAUTHORIZATION FOR TREATMENTThis health history is correct to the best of my knowledge, and the person herein named has permission to engage in all camp activities except as noted. I hereby give permission and authorize the medical provider selected by the Camp Director\u00a0to secure or administer emergency medical treatment, including medical transportation and hospitalization and any other emergency medical procedures and services which may be needed for the person named herein. It is understood that this consent is given in advance of any specific diagnosis or treatment being required, and is given to encourage those persons who have temporary custody of the minor, and said medical provider or dentist to exercise their best judgment as to the requirements of such diagnosis or medical, dental or surgical treatment. In addition, I authorize camper to carry emergency medications and use as directed. I agree to remain fully liable and responsible for the payment of any such hospital, doctor, medical transportation, dental or medical fees. I further agree that in giving this permission and authorization, Circle of Faith Ministries does not assume any responsibility or liability for the payment of such hospital, doctor, medical transportation, dental or other medical fees which may be incurred. The completed forms may be photocopied and maintained by authorized personnel as needed including trips out of camp.WAIVER OF LIABILITYIn exchange for participation in Circle of Faith Church Camp, I hereby agree as follows: I release and forever discharge Circle of Faith Ministries and Koinonia Farms from causes of action of any nature and kind, known and unknown, arising out of or relating to any injury, loss or damage to person and property that may be sustained as a result of participating in camp activities. I understand that my child\u2019s participation in camp activities involves inherent risks, including risk of physical or psychological injury, pain, suffering and illness, and I assume all related risks and allow my child to voluntarily participate in camp activities. This Release shall be binding upon the parties and their respective heirs. This Release may not be altered, amended or modified, except by a written document signed by both parties. I have carefully read and fully understand all the provision of this Release and am freely, knowingly and voluntarily entering into this Release. AUTHORIZATION FOR OVER-THE-COUNTER MEDICATIONS Acetaminophen (Tylenol) Ibuprofen (Motrin) Antibiotic Cream (for minor cuts\/scrapes) Claritin Calamine Lotion (for itching) Benadryl I do not want over-the-counter medications given to my child In the event your child experiences minor discomforts during camp, we would like the opportunity to make your child as comfortable as possible. Therefore, below is a list of over-the-counter medications that can be administered by Circle of Faith Ministries personnel with your authorization. These medications are approved by the Circle of Faith Ministries Medical Director using the recommended doses from the manufacturers. The below approved medications are intended for occasional use only. I consent to the administration of the below indicated over-the-counter medications which will be available, at no charge, for all campers. Please make available the following medications to my child (check all that apply). If they are NOT checked they WILL NOT be given to the camper. Photo consent Check if you give Circle Of Faith Ministries permission to use your child&#8217;s photo on our website or social media. Submit Camp Store<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-195","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/pages\/195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=195"}],"version-history":[{"count":20,"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/pages\/195\/revisions"}],"predecessor-version":[{"id":2328,"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=\/wp\/v2\/pages\/195\/revisions\/2328"}],"wp:attachment":[{"href":"https:\/\/circleoffaithministries.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}