Kids Camp Registration 2026

CAMPER INFORMATION:

Name:

Birth Date:

PARENT/GUARDIAN INFORMATION:

Parent 1 Name:

Phone:

Parent 2 Name:

Phone:

Parent's Email:

This address will receive a confirmation email

EMERGENCY CONTACT: (An alternate contact is required if parents cannot be reached).

Name:

Phone:

Relationship:

MEDICAL HISTORY:

Does the camper have any allergies?

Yes No

If yes, please list all allergies:

Does the camper need to take medication during camp?

Yes No

If yes, please list medications:

INSURANCE & TREATMENT AUTHORIZATION:

Please upload copy of the medical insurance card:

Upload (8MB)

Medical Insurance Company:

Policy Number:

CAMP RULES:

1. Staff have permission to take all electronics away for duration of camp

2. Campers must follow directions of camp staff and group leaders

3. Campers may not leave the campgrounds without prior arrangements with camp staff

4. Camp is not responsible for lost items

5. Campers are responsible for bringing appropriate clothing and personal hygiene items

6. Attend and participate in all scheduled worship services, Bible studies, and group activities.

7. In the event of a camp rule violation, parents may be asked to pick up their child.

I read and agree with above listed kids camp rules.

Yes

PARENT / GUARDIAN CONSENT & RELEASE:

By registering my child for Camp Wa-Ri-Ki, operated by NLMC, I acknowledge and agree to the following:

I understand that participation in camp activities—including worship services, Bible teaching, recreation, outdoor activities, swimming, and transportation—involves inherent risks. I voluntarily assume all such risks on behalf of my child.

To the fullest extent permitted by law, I release and hold harmless NLMC, Camp Wa-Ri-Ki, and their officers, volunteers, and leaders from any claims or liability arising from my child’s participation in camp activities, except in cases of gross negligence or willful misconduct.

I authorize NLMC and Camp Wa-Ri-Ki staff to obtain emergency medical care for my child if I cannot be reached and agree to be financially responsible for any medical expenses incurred.

I acknowledge that this is a Christian camp and that my child will participate in faith-based activities consistent with biblical teaching. I agree that my child is expected to follow camp rules and standards of conduct, and I understand that serious violations may result in dismissal from camp at my expense.

I grant permission for my child to be photographed or recorded during camp activities for ministry or promotional purposes.

I have read the above information and agree to the terms.

I agree

Parent Name filling out the form

Today's Date

Payment $150

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 25th - 28th, 2026

Kids will head back to Camp Wa-Ri-Ki this summer along the scenic Washougal River.

When: June 25th-28th
Where: 17051 Washougal River Rd. Washougal, WA 98671 - 7115
Ages: 7 - 12
Cost: $150 per camper
Deadline: Applications due by May 31st OR until all spots fill up

NLMC provides a kids summer camp grounded in Christian principles.
Each morning, our excellent staff guides campers in Bible study with their small groups. In the evenings, everyone gathers for worship and discussions to nurture a genuine relationship with Christ.

Our team is thrilled about this year’s camp and invites you to join us at NLMC!

For more information, call/text:
Max Basaraba: 503-961-3571
Katie Pakhnyuk: 503-516-2900
nlmcsbschool@gmail.com

Kids Camp Registration 2026

Description

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