Clergy Kids Retreat – 4th through 12th Graders

Former summer staff and older clergy kids will provide supervision in the cabins and throughout the weekend for all 4th through 12th graders.   The following forms must be filled out and sent to camp by Monday, January 11, 2016.  

  • Health History and Parental Permission Form:  Parent / Guardian Notarized Signature
  • Medication Description FormWe are asking all campers who will be taking any kind of medications while at camp (prescription or non-prescription) to complete a Medication Description Form. Please enclose all medications (enough for the weekend your child is at camp) in a sealed bag along with the completed Medication Description Form and bring this with your camper to camp. Please note, all prescription medications must be in a pharmacy labeled container with your child’s name or the original over-the-counter packaging. When you arrive at camp for the Clergy Kids Retreat you will be asked turn in your medication bag upon check in. Medications will be administered by camp staff throughout the weekend.

Please submit the forms above by Monday, January 1, 2018 in one of the following ways:

  1. By Fax:      (352) 787-8650
  2. By E-Mail:  Scan and send to 
 Your child cannot participate in the weekend without these forms filled out completely and turned into the camp office before the retreat starts.

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