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PRETEEN
CAMP 2026

Power Plus Preteen Camp 2026 Registration

June 13-16, 2026 (Sun-Wed)
Pineywoods Camp
Woodlake, TX

Participant's First Name

Participant's Last Name

Participant's Preferred Name

Mailing Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Biological Sex

Female

Male

Birthdate

Participant's Grade (current or just completed) (ADULTS, CHECK LAST BOX.)

I am an adult.

T-shirt Size:

Youth Small

Youth Medium

Youth Large

Youth XL

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2XL

Adult 3XL

EMERGENCY CONTACT INFORMATION

Parent or Leader's Email

Parent 1 Cell Phone Number (Leaders, put your cell phone number here.)

Parent 1 Work Phone Number

Parent 2 Cell Phone Number (Leaders, put an emergency contact here for you.)

Parent 2 Work Phone Number

MEDICAL INFORMATION

We include this section because participants will be away from home and may need medical assistance. Providing appropriate information may help in an emergency situation and will help us keep participants on schedule for medicines or whatever. Please know that we are not being nosy, but we care about each participant and want them to be cared for appropriately.

General Health Condition

Excellent

Good

Fair

Poor

If fair or poor, please explain.

For what is the participant currently being treated?

Of what do we need to be aware regarding the participant's medical history?

What medications will the participant be bringing to the event? Of what instructions should we be aware? PLEASE NOTE ANY MEDICATIONS WHICH WE SHOULD ADMINISTER TO THE CHILD PARTICIPANT.

Allergies

Does the participant require a special diet? Explain.

Is there anything else of which the church leadership should be aware?

WAIVER AND RELEASE

ASSUMPTION OF RISK:

PHOTOGRAPHY/VIDEO ACKNOWLEDGEMENT:

RELEASE & INDEMNITY:

UNDERSTANDING:

Parent Signature (If you are a leader participant who is 18 years or older, please sign here as well.)

Signature Date

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PRETEEN
CAMP 2026

Power Plus Preteen Camp 2026 Registration

EMERGENCY CONTACT INFORMATION

MEDICAL INFORMATION

WAIVER AND RELEASE

903-723-1642

stephanie@dogwoodhills.org

3400 N Hwy 79 Palestine, TX 75801

PRETEENCAMP 2026

Power Plus Preteen Camp 2026 Registration

EMERGENCY CONTACT INFORMATION

MEDICAL INFORMATION

WAIVER AND RELEASE

PRETEEN
CAMP 2026