Camp Briarwood 2024 (Overnight) Registration

Child's Name(Required)
MM slash DD slash YYYY
Child's gender*(Required)
Does your Child have special needs?(Required)
If your child has special needs, please contact Michael Johnson, Special Needs Director to assess your child's needs before registering this form. Contact info: Michael Johnson • Phone: 205.776.5291 •
Child's Address*(Required)
Father/Guardian's Name(Required)
Emergency contact name*(Required)
Physician's name*(Required)
If your camper has any medical or special needs we need to know about please email the Quest office prior to camp.
Overnight Camp (Pay after registration)
Please enter a number less than or equal to 10.
Camp T-Shirt Size
Please enter a number from 0 to 10.
1. In the event that my child named on the reverse side becomes ill or is injured while under the supervision of Camp Briarwood, I authorize the Camp authorities to do the following: a. Contact the parent or legal guardian of the camper and follow his or her instructions;
b. In the case of an emergency, when neither parent nor a guardian can be reached immediately, Camp authorities are authorized to use best judgment in contacting a physician or other health care provider and to authorize the provision of necessary medical, surgical, or other care;
c. By this CONSENT , I appoint the proper Camp authority as my attorney-in-fact for the purposes herein stated. 2. I give consent for my child to participate in all activities at Camp Briarwood. 3. I will email any special instructions, in regard to my child’s allergies, medications, or specific needs, to 4. In consideration of Briarwood Presbyterian Church making available Camp Briarwood and for the other benefits that I and my child receive, I do hereby release and discharge Briarwood Presbyterian Church, Camp Briarwood, its agenda and employees, from all liability of any kind or nature, claim, demand or cause of action which might be asserted. I understand that this is a RELEASE and with that knowledge, I voluntarily agree.
I understand that photographs taken of campers during their sessions may be used on the Camp Briarwood, Quest Recreation Outreach and Briarwood Presbyterian Church web pages and for promotions in brochures, displays, newsletters, fundraising and other items of publicity. * I hereby give my permission to Camp Briarwood to use photographs taken of my camper.

Payment Information:

After clicking submit you will be redirected to a payment page where you can pay via credit card. Note there is a 6% credit card processing fee. If not paying online, checks may be mailed to Camp Briarwood, 2200 Briarwood Way, Birmingham, AL 35243. If paying in cash please bring to the Quest office (G-100). Do Not Mail. Please include camper name and camp session on all correspondence.