Begin Registration - Saguaro Camp CedarbrookSaguaro Camp Cedarbrook

The fields are filled out based on last year's camp registration. Please review each field carefully and change where is needed in order to have all the information up to date.

Grade entering fall of this year *

Please make sure this information is correct.

Name of church camper attends *

Note You do not need to attend church to come to camp.

Is this camper’s first year at Saguaro Camp Cedarbrook? *

YES

Please tell us how you heard about our camp *

Cabin mate preference

(Must be in your own grade.)

Is camper the son/daughter of a camp staff member? *

YES

Is camper applying for the CILT program? (Must be entering 10th grade. See brochure for details. Applies only to girls.) *

YES

Boys *

Girls *

Name of oldest child, who will not receive the discount:

*PLEASE NOTE: ALL REGISTRATION MATERIALS WILL BE E-MAILED UNLESS OTHERWISE SPECIFIED.

Has your child attended an overnight camp? *

YES

Where, when?

If not, has your child been away from home and family for more than two days?

YES

Brothers

Older

Younger

Sisters

Older

Younger

List the responsibilities your child has at home.

What personality traits would describe your child? (shy, outgoing, cheerful, strong-willed, sensitive, calm, easygoing, restless, active, moody, aggressive, etc.) *

What are your child’s greatest interests? *

Were there any significant events in your family or child’s life in the last year? (i.e. Divorce, illness, death, etc.) *

Are there any special restrictions or facts we should know to better help and/or understand your child? (any food allergies, physical challenges, fears, learning disabilities, family trauma, bed wetting, medical condition, etc.) Please also list this info *

I would like to see my child grow socially in the area(s) of: *

I would like to see my child grow spiritually in the area(s) of: *

Saguaro Camp Cedarbrook Camper Health Form

Person other than parent/guardians to contact in case of an emergency *

Relationship *

Cell Phone *

Secondary Phone

Does the participant have any form of health insurance? *

No – The Participant Or His/her Parent/guardian Will Be Financially Responsible For The Full Amount Of Any Medical Bills.

YES -Please Fill Out All Of The Policy Fields Below

Policy holder’s name

Policy holder’s date of birth (mm/dd/yyyy):

Please scan and upload both sides of your Health Insurance/ Medicaid Card.

Use your phone camera to take a picture, front and back of your insurance card, email to yourself, save the attachment and drag the picture to the registration form.

Front

Back

Primary doctor

Phone

Dentist name

Phone

Please list any childhood diseases:

Has the participant had a tetanus shot within ten years? *

YES

Year

Any serious illnesses or major operations / medical treatments? *

YES

If yes, explain:

Any current infectious diseases? *

YES

If yes, explain:

(Females) Has she menstruated?

YES

If no, does she understand the process?

YES

Please list any allergies (medical, dietary, environmental, other):

Any physical conditions that may affect participation at camp? *

YES

If yes, please list them:

Any recent broken bones / major injuries? *

YES

If yes, list:

Any mental/psychological needs that will have an impact on camp interaction/participation? *

YES

Please explain in detail:

Does your child currently have, or have they in the past had an IEP or 504 plan that would affect their experience at camp? *

Yes

If yes, what is the reason for this plan?

Please list any medication your child takes on a regular basis:

Medication (*):

Route (*):

Dose (*):

Frequency:

Time:

Anything else you want us to know related to the participant’s health that we did not ask? *

My child will be picked up at 10:00 am on Saturday, June 28, 2025 at Camp by:

Name *

Relationship

Cell Phone *

Name

Relationship

Cell phone

Name

Relationship

Cell phone

Name

Relationship

Cell phone

T-shirt Size

Consent & Legal

Please type your name in each field below. This constitutes your signature and you agree to have read and agreed with each of the statements below.

My son/daughter ... *

... has my permission to be photographed. These photos may be used in camp newsletters and camp promotional materials.

My child has my approval ... *

... and authorization to be transported off camp site for camp activities during this year's camp by the staff of Saguaro Camp Cedarbrook in authorized vehicles. It is our goal that your camper will have an enriching and safe experience at Saguaro Camp Cedarbrook. We have arranged for some activities to take place off the campsite, which may include going to interesting hiking trails, off-site activities and fishing. I understand that my child is participating in these activities with my consent and knowledge of the possible risks involved, and I agree to accept any and all risks of injury as a result of such participation and transportation. In addition, I release Saguaro Camp Cedarbrook and its staff from all liability.

I hereby give permission... *

... to the Saguaro Camp Cedarbrook nurses to provide routine non-surgical health care; to administer prescription medications I’ve supplied, as well as over-the-counter medications appropriate for the situation; and to transport the participant to the next level of medical care if required. I understand that all medicines I’ve supplied must be in original containers with participant’s name on them. I hereby consent to the release of personal medical information to any licensed health care provider or camp staff as needed to provide care to the participant. In the event I cannot be reached in an emergency, I hereby give permission to the licensed health care provider selected by the camp to secure and administer treatment, order x-rays, order routine tests, hospitalize, and order injection, anesthesia or surgery for the participant. This completed form may be photocopied for trips out of camp. I understand that I am financially responsible for medical bills due to office/ER visits and/or pharmacy charges.

I understand and agree with the following: *

DEAR PARENTS: At Saguaro Camp Cedarbrook, we desire for each camper to have a great Christian Camp experience! During their time at camp, it is necessary for them to uphold a code of conduct for the camp experience to be its best. With this said we are asking you to review these guidelines with your children and have them sign the commitment to our camp Code of Conduct. This form is required for all students who come to camp. Thank you for committing to this Code of Conduct.

DEAR CAMPERS: In signing that you have read the Camper Code of Conduct form you are agreeing to the following:

CAMPER CODE OF CONDUCT

I will to the best of my ability conduct myself in speech and action consistent with that of Jesus. This includes no bullying behavior such as verbal teasing, harassment, exclusion, or physically harming another camper or their property. Teasing is considered bullying when it becomes personal and hurtful.
I will respect the rights, privacy and property of others.
I will respect the property and facilities of Emmanuel Pines Camp.
I will wear appropriate modest clothes for activities as suggested by camp staff.
I will follow the camp schedule, being prompt and on time.
I will abide by the rules and regulations of the camp director and staff.
I will participate in all activities to the best of my ability.
I will not bring my cell phone or any electronic devices to camp. I also agree that my belongings may be checked while at camp to make sure no phones are present. There are no exceptions, but your counselors will have cell phones if there is an emergency.
I will not bring any animals to camp, service or otherwise.
I will not bring any alcohol, drugs, or any tobacco or vaping products to camp.
I will not bring any personal sports equipment to camp.
I will not bring any weapons of any kind to camp, including knives, matches, fireworks, lighters or any other type of weapon.
I will not use or operate a personal vehicle while at camp.
I will only use bathrooms and changing areas that are assigned to my designed biological sex
I will only enter buildings assigned to my designated biological sex.

I understand that violating this code of conduct may result in consequences including and up to expulsion from the camp if warranted. Parent will be required to pick up camper within 12 hours of notification and in such case, no refunds will be given.

I agree to abide by the Saguaro Camp Cedarbrook Code of Conduct and understand that if I do not, I may be sent home.

Statement of Faith - I affirm that I have read and believe the Statement of Faith and accept it as a condition of continuing service with Saguaro Camp Cedarbrook. *

All Camp Cedarbrook board and staff members serving in any capacity shall be committed to Christ and His service and seek to manifest the kind of life expressed in Romans 12:10-12: "Be devoted to one another with brotherly love. Honor one another above yourselves. Never be lacking zeal, but keep your spiritual fervor, serving the Lord. Be joyful in hope, patient in affliction, faithful in prayer."

We believe:

in one God, eternally existent and coequal in three persons: Father, Son, and Holy Spirit (John 14:16-17; Matthew 28:19, 2 Corinthians 13:14).
Jesus Christ was conceived by the Holy Spirit, born of the Virgin Mary, and is true God and true man (Matthew 1:18-23).
the Scriptures of Old and New Testaments are verbally inspired by God and inerrant in the original writings, and are the final authority for faith and life (2 Peter 1:20-21; 2 Timothy 3:16-17, Hebrews 4: 12).
that God wonderfully and immutably creates each person as male and female. These two distinct, complimentary genders together reflect the image and nature of God. (Genesis 1:26-27) Rejection of one’s biological sex is a rejection of the image of God within that person (Psalm 139:13-16).
man was created in the image of God; he sinned, incurring both physical and spiritual death; and that all human beings are born in sin and that this sinful nature is the origin of all sinful acts in thought, work and deed ( Romans 5:12; Isaiah 59:2; Romans 6:23, Romans 3:23).
the Lord Jesus Christ died as the atoning sacrifice for our sins the just for the unjust, according to the Scriptures, and that all who believe in Him are justified by grace through His shed blood (Romans 5:8-9, Ephesians 2: 8-9, 2 Corinthians 5:21, 1 Peter 3:18).
all who receive the Lord Jesus Christ by faith are born again of the Holy Spirit, becoming children of God (John 1:12; Galatians 3:26, John 3:16).
in the present ministry of the Holy Spirit in illuminating, regenerating, indwelling and sanctifying the Christian (Romans 8:14-16, John 16:13, 2 Thessalonians 2:13).
in the bodily resurrection of Christ, His ascension to the right hand of the Father, His present work as High Priest and Advocate, and His personal return in power and glory (I Corinthians 15:3-4; Hebrews 4:14-16, 1 Thessalonians 4: 16-17).
in the bodily resurrection of the saved and the lost; the saved to everlasting life, and the lost to everlasting punishment (Acts 24:15; Revelation 20:15; Romans 6:23, 1 Corinthians 15:20-24).
that the term marriage has only one meaning: the uniting of one man and one woman in a single, exclusive union, as delineated in Scripture. (Gen. 2:18-25).
that God intends sexual intimacy to occur only between a man and a woman who are married to each other. (1Cor. 6:18, 7:2-5; Heb. 13:4)
that God commanded that no intimate sexual activity be engaged in outside of a marriage between a man and a woman (Heb. 13:4).
that any form of sexual immorality (including adultery, fornication, homosexual behavior, bisexual conduct, bestiality, incest, and use of pornography) is sinful and offensive to God (Matt. 15:18-20; 1 Cor. 6:9-10).

Unifying Denominational Differences: Saguaro Camp Cedarbrook staff members are asked not to promote or practice denominational distinctives which are not found in the Camp Cedarbrook Statement of Faith. We encourage the unity we find through the Holy Spirit by adhering to the basic beliefs we hold in common. Rev. 3/15

Date (mm/dd/yyyy): *

I have reviewed all fields and they are up to date *

New Registration » Camp 2026 for Hamish

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Questionnaire

Number of children in one family attending:

Additional Family Information

Health Information

Saguaro Camp Cedarbrook Camper Health Form

Please scan and upload both sides of your Health Insurance/ Medicaid Card.

Has the participant had any of the following (childhood) diseases or illnesses? Circle answer and give approximate year:

Pickup

My child will be picked up at 10:00 am on Saturday, June 28, 2025 at Camp by:

Consent & Legal

Consent & Legal