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The Retreat at Silver Springs • 6455 East Silver Springs Blvd., Silver Springs FL 34488

Early Bird Registration thru May 15, 2025

On behalf of the The Florida Disciples Regional Church, thank you for registering for Church camp. We suggest that you scroll down the page to see the information requested before beginning the registration process. It will help you understand the registration process. We do not require campers to be vaccinated for childhood immunizations, we highly encourage it.

The Region does not share your information to third parties/partners. If you have any questions, call (352)438-0340 or email [email protected] before beginning the online registration.

Every camper must complete a registration.
We do not allow same-day registration at the camp facility.

A Parent/Guardian for this registration will provide their digital signature via a checkbox for the
"Parent/Guardian Consent & Payment Policy" section.

The Camper for this registration will provide their digital signature via a checkbox for the "Camper Covenant."

FAMILY CAMP: August 30 (optional early check-in on 29th) - September 1, 2025.

Youth/Adult Fee: $250 (Early Bird - expires 7/15) $350 (after 7/15)
Child (up to 2nd grade): $150 (Early Bird - expires 7/15) $250 (after 7/15)
Family Maximum Fee: $750 (Early Bird - expires 7/15) $950 (after 7/15)

Registration Policy: All registrations and fees must be received by their due date. Registrations received
after that date can only be accepted with the camp director’s approval and if space is available.

The cost of providing food, housing, and programming at The Retreat at Silver Springs has steadily increased. Despite these increases, we have not raised camp fees in at least eight years. However, the reality of this decision has become a challenge that we can no longer continue to support. We've spent the past several months working to identify income and expenses, reviewing the costs of everything from insurance coverage to camp t-shirts and we've made the hard decision to increase camp fees beginning with the 2025 camp season.

We will continue to offer Regional Scholarships as our finances allow along with early registration discounts.

Camper Fee

Youth/Adult ($250.00)
Early Bird Discount: Expires 7/16
Child (through 2nd Grade) ($150.00)
Early Bird Discount: Expires 7/16

My church will pay part of my camp fee.

Select this option if your church has agreed to pay part of your camp fees.

Name of Church paying for part of my camp fees.

Other individuals will be paying part of my camp fees.

Payment Note: If you have a message about your payment that you'd like to share with the Region aware of, please write your message below.

Payment Message

Type of Payment

Camper Name

Role in Family

Name preferred for nametag:

Gender

Male
Female

Age (Youth and Child ONLY)

Address

Home/Cell Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. Reply STOP to cancel. View our terms of service & privacy policy.

2 Phone Number

Camper's Email

T-Shirt Size

Is this your first year attending camp?

Home Church (include city)

Our summer camp experiences depend on a commitment to live in an intentional Christian community by the participants and the adult volunteers. To do so, we agree to a covenant that helps manage our relationships with one another, our behavior within the community, and as a community. We require all participants to read and agree to our Camper Covenant below.

There are three sections that must be complete for registration process. Sections I and II will be filled out online. Section III. Pastor/Youth Leader/Church Official - Comments & Signature will be emailed to Church leader to fill out and submit to the Region.

Section I. Camper Covenant

The following are the general and specific expectations for those who are participating in all camps, conferences, and other events sponsored by the Christian Church in Florida (Disciples of Christ). By signing below, you (the camper) agree to the following:

• I will take part in all camp activities from beginning to end.

• I will cooperate with all camp leaders and obey the rules set for my particular camp.

• I will respect each and every person attending my particular camp, treating all people equally and with dignity.

• I will be responsible for the cleanliness and condition of any areas in which I am participating. (Graffiti, carving, cutting, mutilating, vandalizing, etc. will NOT be tolerated).

• I understand that language, clothing, and behavior considered offensive, foul, provocative, overtly sexual, belittling, or harmful in any way (as determined by the camp director) will NOT be tolerated.

• I understand that I am not to enter any cabins other than my own; I will respect everyone’s personal space.

• I will NOT bring any electronic devices (cell phones, radios, stereos, personal listening devices, games, tablets, televisions, etc.) to any camp. Such items will be confiscated and returned at the camp’s conclusion.

• I will NOT use tobacco products, alcohol, or any non-prescribed drugs during any camp.

• I will NOT bring candy, food, or snacks to any camp, unless arranged with the director.

• I will NOT bring fireworks, firearms, knives, or any other weapons to any camp.

• I understand telephone calls are only for emergency situations arranged by the director.

• If it is illegal, I cannot do it or have it.

• If I pose a real or perceived threat to myself, any other person, or the camp site I may be sent home immediately at the director’s discretion, and at the expense of my parent/guardian.

• I understand staff will have zero tolerance for offenses against this covenant.

By checking this box I agree that I have read the Camper Covenant above and agree to abide by the Camper Covenant.*

Checking this box represents your digital signature and authorization. You cannot register for camp without accepting the "Camper Covenant".

EACH CAMPER MUST READ CAMP COVENANT and Type name and date below.

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Camper Name

Date

Section II. Parent/Guardian Consent, Payment Policy & Signature

The undersigned person represents that he/she is the custodial parent/legal guardian of the above identified participant. I give my consent for the above identified participant to attend the event identified on this form and some activities may take place off site. I understand photographs that include my youth could be taken at this event and consent for their use in future promotional materials and that a camp roster (which will include the campers name, address and email) will be distributed to each participant. In addition, I realize that I will be personally responsible for picking him/her up from the event if he/she violates any part of the Camper Covenant. In case of a medical emergency, I hereby give permission to the physician selected by the Event Director to hospitalize, secure proper treatment for, and to order injections, anesthesia and/or surgery for my child as named above. I also release the Florida Disciples Regional Church and its agents from liability in injuries beyond the limits of the health and accident insurance provided for in the event fee.

Registration Policy: All registrations and fees must be received by the Florida Disciples Regional Church, 6455 E. Silver Springs Blvd., Silver Springs, FL 34488, by their due date. Registrations received after that date can only be accepted with the camp director’s approval and if space is available.

Payment Policy: Registration forms are not processed, and campers are not considered “Registered” until complete camp fees have been received by the Florida Disciples Regional Church and every section of this form has been completed. Refunds will NOT be issued after the registration deadline. Any excepti0ns will be at the discretion of the Outdoor Ministry chairperson.

By checking this box I acknowledge that as the Parent/Guardian I give my consent for camper named on this form to attend this event. I also acknowledge that I have read the Check Out & Transportation Policy, and the Payment Policy and agree to adhere to both.*

Checking this box represents your digital signature and authorization. You cannot register for camp without accepting the "Section II Parent/Guardian Consent, Check Out & Transportation Policy & Payment Policy ".

Parent/Guardian Name

Date

BILLING INFORMATION

Name

Payment Method

Credit Card
Mail-In Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

Florida Disciples Region

2025 Summer Camp

At The Retreat at Silver Springs

June 8 - September 1

Register Today!

CAMPER REGISTRATION

Covenant and Consent Forms

Section II. Parent/Guardian Consent, Payment Policy & Signature

BILLING INFORMATION