Seniors (old)

Senior Youth Camp Registration
Ages 13 & UP

You may register online using the form below or register at the door.

FAMILY DISCOUNTS:
We are offering $5 off per additional child of same household, max. $15 discount.
Please note that family discounts are only given to "At the Door" registrations.
We apologize for the inconvenience.

View / Print Senior Camp Registration Form

* Indicates required field

Name *

First

Last

Age *

Date of Birth 00/00/00 *

Gender *

Male Female

Registrant's Email (if applicable) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Name *

Parent/Guardian Phone *

Parent/Guardian Email *

Alt. Phone Number *

Emergency Contact *

Emergency Phone Number *

Your Church's Name *

Church location (city, state) *

Your Pastor's Name *

Have you received the gift of the Holy Ghost? *

yes no

Have you been baptized in Jesus' Name? *

yes no

Tshirts will be given to each registered camper.

Tshirt Size *

Payment Options *

PayPal

Submit

Senior Youth Camp Registration​Ages 13 & UP

Senior Youth Camp Registration
Ages 13 & UP