Day Camp | QMCC

Online Camp Application*

Name*

First Last

Phone*

Grade*

Sex*

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Parent/Guardian*

Parent Is Serving As Counselor

Yes
No

Counselor's Child

As a counselor serving at camp the registration for your child is half off.

Church Attending

Allergies, Medications, or Medical Concerns*

Insurance Company*

Policy #*

I have read the 2024 QMCC camper application and agree to follow the policies outlined in this publication and abide by the decisions made by camp directors and/or manager. I understand that cell phones and car keys are to be secured and not used during the camp session without camp director/manager knowledge and approval. I understand we feel very strongly that we need to be modest and be a shining light to the world. No tank-tops, shorts/skirts need to be past mid-thigh. No low cut blouses or t-shirt. No clothing with inappropriate printing, and no saggy pants or shorts (no shown underwear). Although QMCC takes measures to assure a safe environment, it assumes no responsibility for personal property brought to camp or liability of such items that may be brought to camp. It is understood that campers should leave valuables at home and cell phones will be secured and given back at the end of the week. QMCC will take all reasonable and appropriate safety measures but assumes no responsibility for each persons health. QMCC has my permission to seek appropriate medical action as needed. I also agree that any photos taken of my child while at camp may be used for QMCC promotion. My child and I agree to these policies.

Terms & Conditions*

I Agree To Follow Camp Policies

Pay By Check Option

Pay Upon Arrival

If you select this option you agree to pay the amount in full upon arrival to QMCC.

QMCC Camp T-Shirt Size

QMCC Camp T-Shirt Size (Pay Upon Arrival)*

Total

$0.00