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Elementary Winter Camp 2026 on Friday, January 16, 2026 @ 1:30 PM

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***IMPORTANT INFO, PLEASE READ!***

Make sure you put the child attending winter camp in the Attendee's First and Last Name section above.

However, provide the Parent/Guardian's email and phone number in the Attendee Email and Phone Number areas above.

If you plan on only paying the deposit for registration, make sure you select the $75 (deposit) in the drop down box next to price at the top of the page and not $.

We are now asking families to pay the full amount the week before their child leaves for camp. Please submit all payments by Monday, January 13th. You can make payments online or in person by cash or check. If you need financial assistance, email Will Pearce at wpearce@wacc.net or Jenna Zeronis at jennaz@wacc.net

Remember that if you cannot access the registration portion from this page (the Sign Up! tab is unclickable and it says Registration Not Available), it means that registration for that gender spots are currently full. If this is the case, you can request that your child be placed on the waiting list for winter camp. Email Jenna Zeronis with your child's full name and grade. If a spot opens up, you will be notified right away and will be sent a link to register. 

Additionally, make sure you are logged into the account of whoever is PAYING on my.wacc.net/portal and not the child's or another person's. If you do not do so, your payments and balances may not show up in your purchase history, which you may need to find later for further payments or to keep a record of your purchases.

Lastly, so you know, your child will neither be registered, nor will the information you have filled out here on this page be saved, until you have paid the camp deposit or the full balance. Payment will occur on the next page once you have finished filling out the rest of the information and have clicked Next. If you have any trouble paying the deposit, contact Will Pearce at (562) 945-4500 ext. 186, wpearce@wacc.net or Jenna Zeronis at (562) 945-4500 ext. 179, jennaz@wacc.net

*Child's First Name :
*Child's Last Name :
*Current Grade in 2025:
*Date of Birth :
*Will you need a scholarship for camp? (If yes, please contact Jenna Zeronis at jennaz@wacc.net for further information.):
*Parent/Guardian First Name :
*Parent/ Guardian Last Name :
*Parent/ Guardian Phone Number :
*Parent/ Guardian Email :
*Emergency Contact Name :
*Emergency Contact Phone Number :
*Insurance Provider:
*Subscriber/Member #:
*Name of Policy Holder :
*List any medical and/or allergies :
List Roommate(s) Preferences :
Parent or Guardian Consent and Liability Release January 16th, 2026-January, 18th 2026:
I, the undersigned parent or legal guardian of the above mentioned minor, do hereby authorize any leaders from Whittier Area Community Church (hereinafter WACC) to authorize and consent any examination, anesthetic, medical or surgical diagnosis rendered under the general or specific supervision of any member of the medical or emergency room staff licensed under the provisions of the Medicine Practice Act, or a dentist licensed under the provisions of the Dental Practices Act and on the staff of any acute general hospital or emergency facility holding a current license from the Dept. of Health. It is understood and agreed that WACC’s insurance is only secondary insurance and that the signer’s medical insurance will be billed for any and all medical charges in the case of illness or injury resulting from participation in any way with an activity sponsored by WACC. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required and is given to provide authority and power to render care and/or treatment to the patient regardless if the undersigned is able to be contacted. Further, the undersigned agrees that WACC, its volunteers, employees, and affiliates shall be held harmless from any and all liability for damages to person or property to the participant’s above mentioned that may arise out of, en route to and from, in residence, or as a result of, any involvement or participation in activities sponsored by WACC. In exchange for the privilege of participation in activities sponsored by WACC, I hereby indemnify and hold harmless WACC, the staff, employees, and volunteers of WACC from any and all liability and expenses incurred as a result of participation. 
The health information on this form will only be shared, as needed, with group leaders and medical professionals to safeguard and support the child in an emergency situation. This information will not be publicly disseminated or released to any outside organization.
Photo Release: I will allow my child(ren’s) photograph to be published on the WACC website and/or to be used by WACC for promotional purposes.  Photographs may be published in the form of print, electronic, video or photographic materials created for church use
*Electronic Signature :
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