Who is completing this form
This portion is for the person completing the registration form, and will be contacted should we have any questions.
Add your camp participants here
What type of registration(s) is this?
District
*
Select Option
North
Central
South
You will be able to enter your registrants (campers, chaperones/counselors, interns, worship team, and leaders). In this section, you will need to complete ALL 17 required(*) fields. Please Note: Adults are not required to complete the medical/health information questions (8-17)When finished entering registration information, please scroll to the bottom of the page for payment options.
4. T-Shirt Size
*
Select Option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 1X
Adult 2X
Adult 3X
Adult 4X
5. Gender
*
Select Option
Female
Male
6. Camp Level For campers, please select their current grade level during the 2025-2026 school year.
*
Select Option
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Adult
7. Will this be your first time attending a RioTexas AC Summer Youth Camp?
*
Select Option
Yes
No
13. Is there any additional information (medical, behavioral or developmental) that would help our team care for your child safely and effectively? Enter N/A if not applicable.
*
Select Option
Yes
No
N/A
16. Do you have a health insurance medical card? Please use the box below to upload a copy for emergency purposes.
*
Select Option
Yes
No
17. Do you have a roommate request?
*
Select Option
Yes
No
We seek to create a safe, respectful, and welcoming environment for all participants. Rooming assignments will be made according to the gender information provided during registration. If you have specific rooming needs or concerns, please contact the camp/ registration directors, Rev. Matt Edison- Pastormatt@stmattssa.org or Katie Myers- katiewmyers@yahoo.com, so we can work toward appropriate accommodations.
Liability Release & Medical Consent for Treatment
Release of Liability
By signing this Consent/Release Form, I acknowledge that ministries, programs and activities conducted by the RioTexas Annual Conference of the United Methodist Church, and its related and affiliated organizations (collectively, the 'Conference'), especially, but not limited to, day camps, overnight community/residential camps, and mission camps (individually or collectively, the "Camp(s)"), involve a certain amount of risk to individuals participating. Activities may include strenuous or moderately strenuous physical activities including, but not limited to climbing, swimming, boating, physically active games, jumping and manual labor. With this information, I acknowledge and consent to my or my minor child's participation in the Camp(s) for which they have enrolled. I further acknowledge and consent to any organized travel by van, bus, or other transportation as part of the activities conducted during the Camp(s). Acknowledging the activities involved, I hereby release and hold harmless the Conference, its agencies, related organizations, employees, directors, counselors, leadership, volunteers and members from any and all liability that may arise as a result of my or my child's participation in the Camps except in the case of gross negligence or intentional misconduct.
Medical Consent for Treatment
During the Camp(s) in which I or my child are participating, I hereby authorize the, camp coordinators, adult camp director(s) and/or adult counselors designated to lead that camp to consent to any necessary examination, anesthetic, medical diagnoses or hospital care for my minor child named below. I understand that I will be notified as soon as possible in the event of an emergency. I also understand that designated volunteer first responders who are may or may not be professionally trained doctors or nurses may offer First Aid in the event of an accident.
Consent for Use of Photographs and/or Videos
I give/do not give permission for the Conference to use images, pictures and/or video of my child/children taken during the Camps in which they are participating. Such uses will only include the use of such images, photos or videos in electronic or printed promotional materials, including materials shared with local churches for use on their websites or social media accounts, on the Conference’s website, conference publications or as a display or presentation during the RioTexas Annual Conference Sessions or other meetings held by the Conference.
The Conference endeavors to protect all children participating in its camps, and has policies restricting data, including images and videos, from being shared with third parties except in limited exceptions. The Conference also provides instruction to volunteers and staff with respect to appropriate use of images and videos. Despite that, because of the pervasiveness of social media and the nature of Camps and related activities, images or videos of participants may be taken, posted or utilized publicly by individuals or organizations outside the employ or control of the Conference.
By signing this Consent for Use of Photographs and/or Videos, I also acknowledge that images, pictures or videos of my child/children may, without consent of me or the Conference, be taken and/or utilized by individuals operating outside the consent and control of the Conference. I further agree to release and hold harmless, the Conference from any and all liability arising out of such unauthorized use.
For information related to use of images or videos by local churches hosting Camp activities, parents should contact the hosting local church’s office.
If you do/ do not want your participant(s) photographed/recorded or shared, please indicate this in the section below:
*
Select Option
I give permission to be photographed/ recorded
I do not give permission to be photographed/ recorded
If paying by check, please mail checks to:
Rio Texas Conference
Att. Sylvia Treviño
16400 Huebner Rd
San Antonio, TX. 78248
Check payable to: Central District
Memo : Summer Camp Registration