Welcome to Camp TOGO!

Parent / Guardian Info

Parent/Guardian Full Name

Relationship to Child

Street Address

City

State

Zip

Primary Phone Number

Secondary Phone Number

Email Address

Preferred Method of Contact

Phone

Text

Email

Camper Information

Camper Full Name

Preferred Name/Nickname

Date of Birth

Month

Day

Year

Age

Gender

Grade Completed

T-Shirt Size

Has your child attended Camp TOGO before?

Yes

No

Emergency Contacts

Primary Emergency Contact

Phone

Additional Emergency Contact

Primary Emergency Contact

Phone

Authorized Pick-Up Persons. List all individuals authorized to pick up your child.

Health & Medical Information

Does your child have any allergies? If yes, explain. Food Allergies: Medication Allergies:

Does your child have any allergies? If yes, explain...Food Allergies: Medication: Allergies:

Current Medications? (Name, dosage, frequency)

Will medication need to be administered during camp?

Yes

No

Primary Physician

Physician Phone Number

Health Insurance Provider

Policy Number (optional)

Behavioral & Support Information

Our goal is to support every child well. Please help us understand your child.

What are your child's strengths, interests, and gifts?

What helps your child feel safe and connected?

Are there any behaviors or challenges we should be aware of?

Has your child experienced significant stress, trauma, loss, or major life changes that may affect their camp experience?

Are there any sensory sensitivities or accommodations that would help your child succeed?

Is there anything else you would like Camp TOGO staff to know?

Photo & Media Release

I give permission for Camp TOGO and Foster180 to photograph or record my child during camp activities for educational, promotional, and fundraising purposes.

Yes

No

Add your text

Emergency Medical Authorization

In the event of an emergency, I authorize Camp TOGO staff to obtain emergency medical treatment for my child if I cannot be reached immediately.

Yes

No

Parent Agreement

I understand Camp TOGO is a faith-based, TBRI®-informed day camp.

I understand participation may involve outdoor activities and physical movement.

I agree to provide accurate medical and emergency information.

I understand Camp TOGO staff will contact me regarding any significant health, safety, or behavioral concerns.

Parent/Guardian Name

Date

Month

Day

Year

Electronic Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.