2025 Senior High Camp, Ages 15-18

Registration Options

Sr. High Camp ($235.00*)+ Fees and Processing
Ages 15-18 ($50 Deposit & Make Payments if you want)
Purchase a Voucher ($0.00)
Vouchers will generate coupon codes that can be used to pay for a camper's registration.

Payment Options

Full Payment ($235.00*)+ Fees and Processing
Deposit Payment ($50.00*)+ Fees and Processing

Camper Name

Date of Birth

Age should be between 14 and 18 as of June 9th, 2025

Gender

Male
Female

Dorm Selection

T-Shirt Size (Optional)

Camper's Church Name

Location of Church (City, State)

Pastor's Name

Agreements & Waivers

Camper's Agreement to Abide by Camp Rules & Dress Code

I have read and agree to the terms above.

Parental Waiver

I hereby grant my permission for the camper named above to receive necessary doctor and medical treatment, which the camp nurses, or management deems necessary for his/her well-being. I agree to assume all responsibility for expenses not covered by camp insurance.

NOTE: Parents will be held responsible for the cost of any damage created by the camper. Parents will also be responsible to provide transportation home early if a camper is dismissed for misbehavior. Transportation must also be arranged for picking up the camper and leaving the campgrounds no later than 11:00 p.m. on the Friday night of the camp attended.

I have read and agree to the terms above.

A signed waiver by event participant's pastor will be required before you can download your QR code. A link to obtain waivers for all registrants will be shown on the confirmation page.

Parent/Guardian Name

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Emergency Contact

Emergency Contact Number

Trusted Contacts (Individuals with permission to sign camper in/out from activities. Must be 18+ years old.)

Licensed nurses administer medications and care for wounds or injuries that may occur during camp. The following information will be useful for the proper care of your child.

Does your child have any allergies?

Does your child take any medications?

Additional medical information that would be helpful for the camp nurses to know about your child (physical limitations, behavioral considerations, etc.)

Does your child have any challenging behavior(s)? What do you typically do in response? Are there certain things that make him/her anxious, sad, or fearful that we need to be aware of so that we may try and mitigate escalation?

Does your child get overwhelmed by loud noises and lots of activity where he/she would benefit from noise canceling headphones during services?

Total

$246.69

Includes $11.69 of processing & fees

Coupon Code

Agreements & Waivers

PARENT / GUARDIAN INFORMATION

MEDICAL INFORMATION