Lower Michigan Youth Camp Registration 2025

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Registration form for 2025

Email *

Camper Last Name *

Camper First Name *

Camper's Full Street Address *

Gender *

Male

Female

Grade Entering *

6th

7th

8th

9th

10th

11th

12th

Chaperon

T-Shirt Size (in men's) *

XXL

Other:

Home Church? (if any)

Parent/Guardian Name(s) *

Additional Parent/Guardian Address (if necessary)

Parent/Guardian Primary Phone Number *

Parent/Guardian Secondary Phone Number

Can the camper bring a tent? *

Please bring a tent if you have one, even if you plan to share someone else's tent. It is always good to have extra tents at camp.

Yes

Does the camper need transportation to camp? *

The cost of transportation is the responsibility of each student, but we will do our best to help arrange transportation for those who need it.

Yes

Any allergies? (if so, please list) *

Any medical conditions? (if so, please list) *

Send me a copy of my responses.

Submit

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