Summer Camp Registration Form

Registration eligibility *

Honolulu Church of Christ (member)
Member of another church of Christ congregation
Sponsored guest (friend/family of HCoC member)

Which congregation are you a member of *

Sponsoring member name *

Type none if you are a church of Christ member

Sponsoring member contact (phone/email) *

Type none if you are a church of Christ member

How does your child know the sponsoring family? *

Type none if you are a church of Christ member

Family Name *

Parent/guardian full name *

Relationship to camper *

First guardian phone number + secondary phone number *

Second guardian phone number + secondary phone number *

Text message opt-in *

Yes
No

Communication for camp logistics purposes

Which numbers can we text *

Type none if you don't want to receive text messages

Who has legal custody / any restrictions? *

Please state any people besides legal guardians authorized to drop off / pick up your child *

Email *

Camper name(s) *

Please type all names of child(ren) attending camp (aged 8-18)

Grade(s) entering (Fall 2026) *

Gender(s) *

Please indicate male or female for each child

Child(ren) date of birth *

Home Address (including City, State, Zip) *

Emergency Contact(s) *

Must be reachable during camp and not attending camp

Emergency Phone Numbers *

Please provide the name and phone of emergency contacts

Please list any allergies / food aversions *

If there are none, please type "none". You will be required to fill out a liability, medical and insurance form after registration

Support & Accessibility Needs

Requires step-free access / cannot use stairs
Requires assistance with toileting, bathing, dressing, or personal care
Requires 1:1 support beyond our normal counselor supervision
Requires on-site medical care beyond basic first aid (e.g., injections, specialized procedures)
Has a mobility/safety need that limits participation in standard camp activities
Other support needs

To help us provide a safe and positive camp experience, please tell us if your camper will need any additional support to participate in a rustic camp setting (uneven ground, stairs, shared bathrooms, group activities). Our facility and staffing are limited, and we do not have medical or personal-care staff. If you select any option above, please contact us at honoluluchurchofchrist@gmail.com before submitting registration so we can confirm whether we can safely support your camper.

Camper sponsoring the

Code of conduct + dismissal policy acknowledgement *

Camper/Parent agrees to follow camp rules and staff direction

We reserve the right to call a parent/guardian for early pickup if behavior becomes unsafe or repeatedly disruptive.

Indicate number of camp shirts needed

Selected Value: 0

You will need to fill out the camp shirt order form after registration