Crossfire Ministry
Sharing Jesus Since 1993
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31st Annual Crossfire Basketball Camp
User Registration Information
User Registration Information
Gather address info
SELECT YOUR CAMP WEEK
Choose Option
HALF DAY - JUNE 21-25 (Mon-Fri) - $100 per camper
HALF DAY - JULY 5-9 (Mon-Fri) - $100 per camper
FULL-DAY CAMP - JULY 19-22 (Mon -Thur) - $250 per camper
OVERNIGHT CAMP - JULY 18-22 (Sun-Thur) - $375 per camper
Total Cost $
Choose a T-Shirt Size
YOUTH MED
ADULT SM
ADULT MED
ADULT LG
ADULT XLG
ADULT XXLG
Select a Size
First Name
First
Last Name
Last
Address
*
Address
Street Address
Street Address
Address two
Address two
City
City
State/Province
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Alaska
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District of Columbia
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State/Province
Zip/Postal
Zip/Postal
Home Phone
*
Cell Phone
Your Age
Date of Birth
*
Choose
*
Are you...
Male
Female
Grade Completed
School Name
Parent/Legal Guardian 1
*
Parent/Legal Guardian Email Address
Parent/Legal Guardian 2
2nd Parent/Legal Guardian Email Address
Have you attended a CROSSFIRE CAMP before?
Yes
No
If yes, when?
How did you hear about the camp? Check all that apply.
Church/Upward Mailing
TV
Radio
Road Sign
Billboard
School/Flyer
Newspaper
Social Media
Magazine
You may choose multiple ways
INSURANCE INFORMATION: For all campers
Insurance Carrier
Emergency Contact
*
Email
*
Home Phone
*
Work Phone
Cell Phone
Alternate Emergency Contact
Email
Home Phone
Work Phone
Cell Phone
Allergies of which staff needs to be aware!
*
If none please state 'None' in form field
Are you choosing Overnight Camping?
Yes
No
FOR OVERNIGHT CAMPERS ONLY
Roommate Preference: (FIRST COME, FIRST SERVE BASIS)
Roommate 1
Roommate 2
OK to give acetaminophen (Tylenol)
Yes
No
OK to give ibuprofen (Advil or Motrin)
Yes
No
OK to give TUMS
Yes
No
Prescription Medications
Medical conditions which requires prescription medication if applicable please provide list of meds/amount/time of administration.
PLEASE NOTE: All meds will be administered by staff/No meds are to be kept in dorm rooms.
PARENT: PLEASE READ AND SIGN
It is understood that Crossfire Ministries Int'l, Inc. reserves the right to require additional information and documentation related to this application to be completed and filed with Crossfire Ministries Int'l, Inc before camp participation is allowed.
As a parent of
*
Who is Age
*
..
..., I represent to Crossfire Ministries Int'l, Inc that said child is free from any physical or mental impairment or condition that would prevent him/her from participating in camp activities. I, as parent, further represent to Crossfire Ministries Int'l, Inc that said child has no medical condition that requires medication or medical attention OR child does have a medical condition that requires medication or medical attention, as described in the following space:
Medical Condition
..
I further assume all responsibility for any possible health problems or accidents which might occur while my child is in camp and will not hold responsible the following parties/organization: Asheville School, Asheville Christian Academy, First Baptist Church of Hendersonville, Mars Hill University, Mars Hill Elementary, North Buncombe Middle School, North Buncombe High School.
Parent/Guardian Signature
*
Please type your full name here
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