2026 S.M.I.T.E. Application

Personal Information

Name

Maiden Name (if applicable)

Gender

Age

Date of Birth

Address (No P.O. Boxes)

Name of Home Church

Home Church Phone Number

Shirt Size

For Kitchen workers and anyone 12 years and under, the t-shirt will cost $10. (There are no children sizes. Adult small is the smallest.)

Email address is required for every attendee. If you are over the age of 18, the email you enter will be the email address used to send required child safety training links.

This address will receive a confirmation email

Phone

References

List two references, including their full name and phone number (one must be your pastor)

Church/Non-Church Involvement

List the name and address of any other churches you have attended regularly in the last five years

List any non-church involvement with children in the last five years (list organization, address, and the type of work)

Newcomers Only: If you are a newcomer to S.M.I.T.E., please complete the following

Please give a short testimony of your salvation experience

Please list any previous experience you have had in working with children, such as teaching in Sunday school, working in the bus ministry, or 5-day Bible clubs

S.M.I.T.E. Records Information

How many 5-day Bible clubs have you been involved with? (do not include S.M.I.T.E. clubs)

You will need to complete a minimum of eight clubs to graduate from S.M.I.T.E. These do not include clubs conducted at S.M.I.T.E.

ALL ADULTS AND ALUMNI:

1. If you will be bringing a vehicle that can be used to transport teens to clubs, how many people will it hold total?

Will someone besides yourself need to drive the vehicle?

2. If for any reason, you cannot be in attendance at S.M.I.T.E. for the entire week (Sunday night through Friday night), please let us know. Our counselors and leaders need to be able to work with their team for the whole week. Please write below if you will not be in attendance the whole week, as it will affect the position where you serve or your ability to attend due to limited accommodations.

3. Please note that no children age 12 and under will be allowed to attend unless their parent(s) are workers staying at SMITE.

4. Due to limited space, we may not be able to accommodate individuals or families before students and workers.

5. At Registration, we request anyone coming or bringing someone to please dress appropriately for SMITE.

6. If you are planning to arrive early to SMITE, on what day will you be arriving:

7. Are you planning to stay the Friday night of SMITE?

(Anyone staying will be required to help with final clean up at SMITE)

Medical Treatment and Liability Release

Home Phone

Parent's Cell

Emergency Contact other than parents:

Cell

Relationship to camper:

Family Insurance Company:

Group Number:

Policy Number:

Policy Holder's Name

Family Physician

Phone

LIST OF MEDICATIONS CAMPER WILL BE TAKING: (Must be in original container with RX on prescription container) Please include name of medication, reason given, times given, dosage, and how to be given

ALLERGIES: If allergic to any medications, please specify:

PHYSICAL LIMITATIONS: If there are any physical limitations or instructions, please comment:

REQUEST AND AUTHORIZATION TO ADMINISTER MEDICINES:

By checking the box below, I request and authorize the S.M.I.T.E. nurse, director, or staff member to administer the medicines listed above, as indicated. In case of emergency, I request and authorize them to secure proper medical treatment for the above named person.

I understand that I am responsible for accident and medical insurance if needed in route to and from S.M.I.T.E. and throughout the duration of the Institute. I freely and voluntarily fully release and hold harmless S.M.I.T.E. and Milldale Baptist Camp, its employees and regents, from any liability in the event of injury or accident to the above named person during S.M.I.T.E. and other related activity during the summer.

Medical Authorization and Release

Grant permission for non-prescription medication (such as non-aspirin products i.e. acetaminophen or ibuprofen, throat lozenges, Benadryl, etc.) to be given if deemed appropriate during normal camp activities

Authorization and Agreement

By checking the box on this application below, you are agreeing to abide by all rules and are stating you have read the S.M.I.T.E. General Information form. You also agree, should the need arise, to allow S.M.I.T.E. the ability to check your personal items. You agree to work with the staff and your peers to be a positive Christian influence on all. You understand that any violation of these rules may be grounds for you to be sent home at your own expense.
By checking the box below, you hereby authorize S.M.I.T.E. and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively to conduct an interview with applicant. You also release S.M.I.T.E. and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively from any liability for damages of whatever kind, which may at any time result to you, your heirs, family, or associates because of compliance with this authorization and request to release information. A copy of this authorization (if not destroyed in accordance with record retention policies) will be given to you provided you request it in writing.

Applicant's Agreement (Or parent if applicant is a minor)

Please review the information on the top of this form before submitting. Prices will increase after April 20, and no applications will be accepted after May 11.

Download Important S.M.I.T.E. Information Below:
Important Information, Dress Code, and Fees

To register, all applications must include at least the registration payment which is non-refundable. All missionaries and their families only pay the registration fee.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

May 24-29, 2026

Camp Address:
Milldale Baptist Church
11950 Milldale Rd.
Zachary, LA 70791

SMITE FEES: (Please note the dates below. Late registrations do not receive a SMITE t-shirt)

To register, all applications must include at least the registration payment which is non-refundable. All missionaries and their families only pay the registration fee.

LEVEL 1-4 STUDENTS (Teenagers or Adults) - Registrations postmarked on or before April 20, 2026
$45 due with registration / $110 due at SMITE (Receive t-shirt)

LEVEL 1-4 STUDENTS (Teenagers or Adults) - Late registrations postmarked after April 20, 2026
$45 due with registration / $125 due at SMITE (No t-shirt)

LEVEL 5, ALUMNI, AND ADULT - Registration postmarked on or before April 20, 2026
$45 due with registration / $50 due at SMITE (Receive t-shirt)

LEVEL 5, ALUMNI, AND ADULT - Late registration postmarked after April 20, 2026
$45 due with registration / $60 due at SMITE (No t-shirt)

CHILDREN (Ages 5 to Level 1) - $45 (no t-shirt) or $55 (Includes normal size t-shirt; no child sizes available
Must be postmarked on or before April 20, 2026

CHILDREN (Ages 4 and under) - FREE

NO APPLICATIONS OR WALK-INS WILL BE ACCEPTED AFTER MAY 11, 2026

2026 S.M.I.T.E. Application

Description

Please Fix the Following