2026 All God’s Children Camp ENROLLMENT FORM

A week-long overnight camp for children ages 7-12 with an incarcerated parent.

This form can include information for all children in one family enrolled in the program.

Check the camp that your camper(s) will attend:

June 14-19 Chanco on the James (if you need transportation and live in the Richmond area, please mark this week)

Aug 9-14 Camp Chanco on the James (if you need transportation and live in the VA Beach area, please mark this week)

Will you need help with transportation to and from camp?

Yes

No

CAREGIVER INFO:

Full Name

Relationship to child(ren)

Address

Email

Phone

ALTERNATE CONTACT:

Full Name

Relationship to child:

Cell Phone

Alt. Phone:

CAMPER INFO: Fill out a section for each child

Camper 1:

Student Name:

Select Gender:

Male

Female

Age when camp starts:

Birthday

Month

Day

Year

Grade Completed:

School:

Has the camper ever attended overnight camp before?

Yes

No

Any important information that will help the staff prepare for them such as allergies, conditions, routine medicine, or bedtime issues that we should be aware of?

Shoe Size:

Shirt Size:

Camper 2:

Student Name:

Select Gender:

Male

Female

Age when camp starts:

Signature of Camper:

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Signature of Camper:

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Signature of Camper:

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Signature of Caregiver:

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Date

Month

Day

Year

Fixed price

$10