ACTIVE 2026 Camp Authentic
July 7, 2026 2:00 PM - July 10, 2026 2:00 PM
37 out of 40 remaining tickets available
Fun weekÂ
Type
Price
Quantity
Early Bird
15 Remaining
Price
$225.00
Quantity
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Early Bird
0
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
School Grade in the Fall
*
-- None --
Nursery/Pre-school
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
T-Shirt Size
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3x
Please identify allergies (including food, medications, and drug reactions):
Please identify any medical conditions we need to be aware of:
*
Please identify which over-the-counter medications may be administered by Camp Authentic Staff if needed.
Tylenol
Ibuprofen
Antacid
Polysporin
Hydrocortisone
None.
Transportation: Camper will be transported to and from camp by (check all that apply)
Parent/Guardian
Driving themselves
Sibling
Other
Parent/Guardian Name (First and Last)
Parent/Guardian Email
Parent/Guardian Phone Number
Emergency Contact Information (Provide name, email, and phone number of contact not already listed on this form.)
Behavior Agreement - Camper agrees to the following:
Camper will be polite, positive, and respectful of others
Camper understands disrespect, bullying, or bad behavior will not be tolerated and will result in immediate dismissal from camp activities with no refunds
Camper acknowledges that the following items will not be allowed at camp: drugs, alcohol, cigarettes, vape pens, weapons, etc.
Camper agrees to no public displays of affection (holding hands, kissing, etc.)
Camper acknowledges that all participants are expected to be in a group of at least three people at all times. No private , out-of-sight, one-on-ones or wandering by yourself.
Camper agrees to stay in designated areas and may not leave the facility at any time without informing a camp staff member
Camper agrees to dress appropriately and modestly and will not wear crop tops, spaghetti straps, short shorts. Undergarments should not be seen.
Camper agrees to wear close-toed, back shoes for recreation activities. (Crocs are not acceptable)
Campers agrees that if they should choose to bring technology to camp (i.e., cell phone), that screen usage will not be tolerated during times of worship, quiet times, Bible study, recreation, etc. Staff strongly suggests leaving your cel phone at home or turning your phone off for most of the day. All camp staff members will have a phone available if needed by participants.
Camper agrees that they will not be allowed to ride in another participant's vehicle unless previously approved by parent/guardians.
Photograph/Video Acknowledgment
I acknowledge that there will be photographs taken or videotaping recorded of participants during normal event activities.
I GRANT my permission for such photographs/videos to be taken and to be used in promotional materials and social media.:
I DO NOT GRANT permission for such photographs to be taken and be used in promotional material and social media.
Permission for Medical Treatment: I hereby grant my permission for the following (check all that apply)
For any church staffer, camp staff member, or adult present in charge of First Aid to obtain necessary medical attention in case of sickness or injury to participant.
For any church staffer, camp staff member, or adult present in charge of First Aid to transport participant to a medical facility:
For any church staffer, camp staff member, or adult present in charge of First Aid to share the above information with medical personnel