Camp Registration

YCL Ministries Camp Registration Details

Fill out a separate camp registration for each child.
Confirmation letter or email will be sent within 2-3 weeks of registration receipt.
Payment is ue with registration unless you are applying for a scholarship.
A $20 fee will be charged for all cancelled or NSF checks.
Requests for refunds or changes to existing registrations must be made in writing 15 days prior to the start of the campe. There is a $20 fee for each camp cancellation within 15 days prior to the start of camp.

For more information:
Phone: (574)491-3075
Fax: (574)491-2723
Email: info@yclministries.org

Camper First Name:

Camper Last Name:

Address:

City:

Zip:

Birthdate:

Select Date

Gender:

Camper T-Shirt Size:

*We cannot guarantee shirt size

Grade in Fall 2010:

Church:

Parents:

Parents Email Address:

Camper Email Address:

Telephone:

Cellular Phone:

Work phone:

Emergency Contact: If Parent Cannot Be Located

Name:

Relationship:

Phone:

YCL Ministries may use photos of my child for future promotions:

Desired Camp:

Jr. High: June 14-18
4th & 5th Grade: July 19-23
Sibling: July 12-15
CIT: June 4-5
Tadpole: June 11-12
Sr. High: June 21-24
2nd & 3rd Grade: July 5-8

Digital Signature:

*The child listed above has my permission to attend camp at YCL and participate in all activities