GSM High School Camp 2025

GSM High School Camp 2025 You are just a few steps away from successfully registering for the best week of the summer. Please complete the forms below with all the information requested, pay your $50 deposit, and you will be all set. We are so excited to have you join us!! High School Camp is June 25-29 at Camp Michindoh in Hillsdale, Michigan. The total cost for camp this year is $395 and will be due June 1st.
*Registration cost after April 1st is $450. Registration closes May 1st.

Tip: When Registering, please enter the name of the Student, not the Parent, in the first 2 boxes. Thanks!

* Student First Name

* Student Last Name

* Student Birth Date

* Student Grade in School

* Student T-Shirt Size

* Parent/Legal Guardian Name

* Student Address

* Student Home Phone

* Student Mobile Phone

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* Student Email

* Student Emergency Contact

* Student Emergency Contact Phone number

* Medical Information: Is your student presently being treated for an injury or sickness or taking any medication? If yes, please explain.

* Health History: Does your student have, or has your student ever had, any of the following: Allergies, Asthma, Diabetes, Hay Fever, Heart Murmur, Kidney Disease, Seizure Disorders? If yes, please explain:

* Sleep Issues: Does your student ever sleepwalk or experience night terrors?

* Blood Type: Please enter student's blood type (If known):

* Limiting Factors: Does your student have a physical handicap or illness that would prevent him or her from participating in normal rigorous activity? If yes, please explain:

* Doctor's Information: Please provide the name of your Family Doctor and a telephone number for their practice:

* Insurance Information: Please provide the name of your health insurance company and policy number:

* Medical Treatment Authorization: In the event that I cannot be reached, I authorize the Student Ministries Pastor or another Adult Leader designated by them to call a doctor and to provide necessary medical services if my student is injured or ill. I understand that I, the parent or legal guardian will be responsible for medical expenses incurred. Please type your name below to give authorization:

* I, the undersigned, being the parent or legal guardian of the student above, give permission to Nate Patterson, Student Ministries Pastor, and GSM Leaders/Volunteers to transport my student to, from, and around Michindoh Conference Center in Hillsdale, Michigan. Please type your name in the box below to give consent.

* I, the undersigned, being the parent or legal guardian of the student named above, do hereby consent to the participation of my student in Grace Church Student Ministries High School Camp. Further, I certify that my student is physically fit and adequately prepared to participate in all recreational activities and sporting events. Please type your name below to give consent:

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