Summer camp registration form template, VBS included

Enroll a child in summer camp or VBS: the weeks, who may pick them up, allergies and health notes, and a parent’s signed consents.

Use this template

Preview · answers aren’t saved

Which weeks? (required)

Camp runs 9 am to 3 pm, Monday to Friday.

The camper

Camper’s name (required)

Date of birth (required)

A friend they’d like to be grouped with

Parent or guardian

Your name (required)

Email (required)

Mobile (required)

Home address (required)

Street address (required)

Apt, suite, unit (optional)

City (required)

State (optional)

ZIP code

Emergency contact, not a parent (required)

Someone we can call if neither parent answers.

Emergency contact’s phone (required)

Pick-up

Who else may pick up your child? (required)

They must be 16 or over and show photo ID at sign-out.

Is anyone not allowed to pick up your child? (required)

Health

Does your child have any allergies? (required)

Medical conditions, medications or activity limits staff should know about

Staff may apply or give

Prescription medicine needs our separate medication form.

Dietary needs

Consents

Emergency treatment (required)

If I cannot be reached, staff may get emergency medical treatment for my child.

Photos of your child (required)

Trips (required)

My child may go on supervised trips off site and travel in camp vehicles.

Rules and release (required)

I have read and accept the camp rules and the release of liability.

Parent or guardian signature (required)

Draw your signature, or choose Type instead to type your name.

Fees: a deposit holds a place, and the balance is due before camp starts. We’ll email the fees and how to pay after you register.

Would you like information about financial help?

Your answer does not affect your child’s place.

29 questions · about 7 min · logic · signature · prefill from the link

No sign-up to start
Unlimited responses on Free

Print it as a PDF Word version

Change the questions in Word, then print.

What you get back

Every response lands in your results the moment it is sent. Turn on email notifications and each one arrives like this, and the same answers become a row in your spreadsheet.

From PulseFormCreator

Subject New response to Summer camp registration

Which weeks?: Week 2, Week 4, swimming
Camper’s name: Leo Martinez
Date of birth: 9 May 2017
Grade in the new school year: Grade 3
A friend they’d like to be grouped with: Sam Wu
Your name: Ana Martinez

and 18 more answers

A sample email with made-up answers.

submitted_at	Which weeks?	Camper’s name	Date of birth	Grade in the new school year	A friend they’d like to be grouped with
22 Sep 2026 09:41	Week 2 \| Week 4, swimming	Leo Martinez	9 May 2017	Grade 3	Sam Wu

Export to CSV or Excel, or send responses to Google Sheets, Notion, Airtable, Slack or a webhook. All free.

What happens after someone submits

Health and money questions reach the right person as soon as a parent submits.

Submitted
A life-threatening allergy is reported

Your camp nurse gets an email with that camper’s registration, so the action plan is ready before the first day.
A parent asks about financial help

Reply privately from their registration, and their answer comes back to the same thread.
Every registration

The family lands in People, tagged with this summer, so next year’s sign-up email reaches them.

Set this up when you use the template

What this form asks, and why

A summer camp registration form needs the weeks, the camper’s name, date of birth and grade, a parent and an emergency contact, who may pick the child up, allergies and health notes, and signed consents. Among camp and VBS forms, 8 of 15 forms list who may pick the child up and 6 of 15 forms ask consent for emergency treatment.

The last column shows how often real summer camp registration forms ask for it.

Question	Why it is there	Real forms
Which weeks? Required	Rosters and staffing are built per week, so the price sits in each option.	5 of 15 forms
Camper’s name Required	The roster, the name tag and the sign-out sheet.	14 of 15 forms
Date of birth Required	Groups by age, asked on 12 of 15 forms.	12 of 15 forms
Grade in the new school year Required	Groups by grade too, and decides who may walk home.	12 of 15 forms
A friend they’d like to be grouped with	Optional. Heads off first-morning tears.	3 of 15 forms
Your name Required	The person who signs and pays.	14 of 15 forms
Relationship to the camper Required	Who staff are talking to.	14 of 15 forms
Email Required	Confirmation, receipts and weekly updates.	14 of 15 forms
Mobile Required	The number staff call at pick-up time, asked on 15 of 15 forms.	15 of 15 forms
Home address Required	For receipts; optional if you bill by email.	13 of 15 forms
Emergency contact, not a parent Required	For when no parent answers.	11 of 15 forms
Emergency contact’s phone Required	The second number staff call.	11 of 15 forms
Who else may pick up your child? Required	The sign-out desk works from this list. 8 of 15 forms ask it.	8 of 15 forms
Is anyone not allowed to pick up your child? Required	Asked on only 1 of 15 forms, yet the sign-out desk needs it most.	1 of 15 forms
Who, and is there a court order? Required Only when “Is anyone not allowed to pick up your child?” is Yes	Shown after a yes, asking for any court order.	1 of 15 forms
May your child sign out and walk home alone? Only when “Grade in the new school year” is “Grade 5”, “Grade 6”, “Grade 7” or “Grade 8”	Shown from grade 5 up.	1 of 15 forms
Does your child have any allergies? Required	A yes or no first, so “none” is an answer and not a blank.	9 of 15 forms
What are they allergic to, and what happens? Required Only when “Does your child have any allergies?” is Yes	The allergen and the reaction, for counselors and the kitchen.	9 of 15 forms
Is any allergy life-threatening? Required Only when “Does your child have any allergies?” is Yes	A yes ends on a screen asking for the auto-injector and action plan.	9 of 15 forms
Medical conditions, medications or activity limits staff should know about	What counselors need day to day, not a medical history.	7 of 15 forms
Staff may apply or give	Sunscreen, bug spray and a painkiller, answered once. Prescription medicine needs your own medication form.	4 of 15 forms
Dietary needs	For camps that serve lunch or snacks.	2 of 15 forms
Swimming ability Required Only when “Which weeks?” includes “Week 4, swimming”	Shown only for the swimming week. Pool groups go by ability.	Our own recommendation
Emergency treatment Required	Lets staff act when a parent cannot be reached.	6 of 15 forms
Photos of your child Required	Three answers: publicity, publicity without a name, or none.	8 of 15 forms
Trips Required	One line instead of a permission slip for every outing.	2 of 15 forms
Rules and release Required	Your rules and release in one checkbox. Link your own.	8 of 15 forms
Parent or guardian signature Required	Makes the consents count. The response records the date.	13 of 15 forms
Would you like information about financial help?	Asked privately on the form. Keep this column out of shared rosters.	1 of 15 forms

What we left out

Card number and CVC. Seen on 1 of 15 forms. Card numbers have no place in a registration you export and share.
Health insurance and family doctor. Seen on 3 of 15 forms. Counselors never need them.
Gender. 7 of 15 forms ask it; day camps and VBS do not group by it. The sleepaway preset adds it.

What 15 real summer camp registration forms ask

How many include each field, from forms organizations use today. Part of the Form Field Index.

Any phone number for the family 15 of 15
Camper's (child's) name 14 of 15
Email address 14 of 15
Parent or guardian details 14 of 15
A signature line or signature field 13 of 15
Home, mailing or billing address 13 of 15
Camper's date of birth 12 of 15
School grade 12 of 15

Read September 2026 · US 15 · Sources

Feather River College (Mountain Kids Camp) · community college day camp, US
The Academy for Children · child care center, US
YMCA of Greater New York (McBurney YMCA day camp) · YMCA, US
Moody Middle School EdSTREAM Summer Camp (St. Clair County Schools) · public school, US
Camp Ewalu · church camp (residential), US
Church of the Epiphany (North Chesterfield, VA) · Catholic parish (VBS), US
Christian Life Center · church (VBS), US
St. Francis Episcopal Parish & Community Center · Episcopal parish (VBS), US
Crossroads Community Church · church (VBS), US
River Valley Ranch · Christian camp (residential), US
Assumption B.V.M. Parish (Pulaski, WI) · Catholic parish (VBS), US
Salem United Methodist Church · United Methodist church (VBS), US
First Presbyterian Church of Haines City · Presbyterian church (VBS), US
Hope Church (Oakdale, MN) · church (VBS), US
Oldenburg Academy High School · private high school (summer camp), US

How the form changes as people answer

Most people see a shorter form. These questions and screens only appear when an answer calls for them.

When “Is anyone not allowed to pick up your child?” is Yes

shows “Who, and is there a court order?”
When “Grade in the new school year” is “Grade 5”, “Grade 6”, “Grade 7” or “Grade 8”

shows “May your child sign out and walk home alone?”
When “Does your child have any allergies?” is Yes

shows “What are they allergic to, and what happens?” and “Is any allergy life-threatening?”
When “Which weeks?” includes “Week 4, swimming”

shows “Swimming ability”
When “Is any allergy life-threatening?” is Yes and “Would you like information about financial help?” is Yes

shows the “Leo is registered. Please bring the auto-injector” ending
When “Is any allergy life-threatening?” is Yes

shows the “Leo is registered. Please bring the auto-injector” ending
When “Would you like information about financial help?” is Yes

shows the “Leo is registered” ending

Make it yours

Close each week when it is full

Set Settings → Limit responses and a close time under Settings → Schedule, or run one form per week.
Make a second child one tap away

Point the thank-you screen’s “Register another child” button at the form’s own link.
Send VBS families the short version

Pick the VBS preset: no weeks, fees, swimming or trips, and one health box instead of five questions.

Good practice and the law

This is general information, not legal advice. Rules differ by country and state, so check anything important where you operate.

UK
A child’s health details are special category data, so ask only what staff need. ICO, special category data

Questions about this template

Can I register two children on one form?

In the VBS preset, yes: “Add another child?” opens a block per child. Camp keeps one child per form, because weeks and health differ.

Who is allowed to pick up a child?

Whoever the parent lists. Put your own rule, such as adults over 16 with photo ID, in the question’s description.

Should the health history go on this form?

No. Keep allergies, daily health notes and sunscreen permission here. Camps also send their own health history form, a medication authorization for prescription medicine and, where required, an immunization record.

Can families pay when they register?

No, payments are not available. The fees paragraph states the amounts and links your payment page; families who need help can apply for a camp scholarship.

Which form do you need?

Not quite the job? One of these may fit, or browse all registration and event forms.

youth sports registration form
For a weekly class or a sports season rather than weeks of full-day care.
online permission slip
For one outing with students the school already knows.
student emergency contact form
For updating contacts for a child already enrolled.

Start with the summer camp registration form template

Open it in the editor, put in your weeks and fees, and share the link before sign-ups open.