Register for Summer Camp

Ready to register for camp? Fill out the form below or download and mail your registration form.

Event *

Junior Resident 1: June 20 - 25, 2022Teen Wilderness 1: June 20 - 25, 2022Teen Resident 1: June 27- July 2, 2022Junior Wilderness 1: June 27 - July 2, 2022Junior Resident 2: July 11 - 16, 2022Teen Wilderness 2: July 11 - 16, 2022Teen Resident 2: July 18 - 23, 2022Junior Wilderness 2: July 18 - 23, 2022Junior Resident 3: July 25 - 30, 2022Teen Wilderness 3: July 25 - 30, 2022

Name *

Gender *MaleFemale

Age *

Date of Birth *

Month *

Day *

Year *

Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabwe

Phone *

Parent / Guardian *

Emergency Contact Name *

Emergency Contact Phone *

Relationship of Emergency Contact *

Pickup Person *

Church *

T-Shirt SizeYouth SmallYouth mediumYouth LargeAdult SmallAdult MediumAdult LargeAdult Extra Large

Date of Last Tetanus Shot

Do you have insurance? *YesNo

Insurance Provider *

Name of Policy Holder *

Policy Number *

Are you Current on Immunizations? *YesNo

Dietary Needs

Allergies

Medications

Do you have any of the following? *YesNo Sleepwalk, Faint, Epilepsy, Diabetes, Asthma

Do you Sleepwalk *YesNo

Do you Faint *YesNo

Do you have Epilepsy *YesNo

Do you have Diabetes *YesNo

Do you have Asthma *YesNo

Pre Existing Medical Conditions

Other Important Information

How do you plan to pay? *

OnlineMailWhen you arriveI have a full schoarship

Permission Statement – By clicking submit below, I GIVE PERMISSION for Whispering Winds Bible Camp (WWBC) to secure medical treatment for myself, my spouse, or my child in case of illness or accident. I GIVE PERMISSION for my child to participate in all Camp activities, both on and off camp property, either by walking or riding in camp vehicles, including (without limitation): hiking, backpacking, canoeing, kayaking, caving, water tubing, low ropes course, climbing wall and swimming. I ACKNOWLEDGE AND ACCEPT the risks involved in camping activities for myself, my spouse, or my child. I ACCEPT personal financial responsibility for any bodily injury sustained by myself, my spouse, or my child while at WWBC. Furthermore, I PROMISE to hold harmless WWBC and its representatives for any injury related to Camp. I GIVE PERMSSION for my child to receive Bible-based instruction while at WWBC. I AGREE for myself, my spouse, and my child to abide by the dress standards and rules of conduct of WWBC. I GIVE PERMISSION for WWBC to use pictures including myself, my spouse, or my child in organizational publicity. *

I Agree

Type Name as Signature *Parent or Guardian if under 18

Submit

Please do not fill in this field.