2026 Fishing Camp Registration

June 15, 2026 4:30 PM - June 18, 2026 6:30 PM

0 out of 20 remaining tickets available

Girls and Boys join us at the beautiful private pond of Steve Bulthius (17713 Crystal Lake Drive, Homer Glen) for our fun and popular summer fishing camp! Kids will learn about the "fruits of the Spirit" , as they get hands on experience with fishing equipment, see demos of fish cleaning, learn about local species, and have a go at catching many varieties of fish. Fishing off-pier or off-shore only. Close supervision by experienced fishermen with camper safety as a priority. Snacks provided. Fishing license not required. Fishing poles optional. Parents welcome to stay on property during camp. (1st through 5th graders please bring a life jacket if you have one, otherwise one will be provided.)

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Camper Information

First Name *

Last Name *

Date of Birth *

School Grade

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Phone Number

Home Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

Insurance Information

Insurance Provider *

Group/Policy Number *

ID Number *

Medical History

Allergies/Intolerances/Dietary Restrictions *

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Permissions

Permission for Medical Treatment, Release and Idemnity:

My permission is granted for Palos Community Church staff, volunteer leaders, or adult present, or adult in charge of first aide, to obtain necessary medical attention in case of sickness or injury to the participant. I, as parent or guardian, do herby verify that the above information is correct and I do herby release and forever discharge all employees, and volunteers of Palos Community Church from any and all claims, demands, actions or cause of action past, present, or future arising out of any damage or injury while participating in PCC activities, subject to legal and church standards. I agree to indemnify all employees, and volunteers of Palos Community Church.

I agree to the statement above *

I agree

Photo Permission:

I agree that Palos Community Church (PCC) may photograph or record (video/audio) the participant during their participation in any PCC sponsored activity. I agree that PCC will be able to use them in whole or in-part, whether in original or modified form in any/all manner, media or social media, or social media including with out limitation and without compensation, for the purpose of advertising, promotion, and publicizing PCC whether during the activity or thereafter.

I agree to the statement above *

I agree

Parent or Guardian Signature

Parent Full Name *

Today's Date *

Parent Phone Number *

Parent Email *

Emergency Contact

In the event that you cannot be reaced we will contact this person with the phone number you list

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship (to student) *

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Camper Information

First Name *

Last Name *

Date of Birth *

School Grade

Gender *

Phone Number

Home Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

Insurance Information

Insurance Provider *

Group/Policy Number *

ID Number *

Medical History

Allergies/Intolerances/Dietary Restrictions *

Is there anything else we should know about your Camper?

Permissions

Permission for Medical Treatment, Release and Idemnity:

I agree to the statement above *

I agree

Photo Permission:

I agree to the statement above *

I agree

Parent or Guardian Signature

Parent Full Name *

Today's Date *

Parent Phone Number *

Parent Email *

Emergency Contact

In the event that you cannot be reaced we will contact this person with the phone number you list

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship (to student) *