Bridge Building Applicant Information
Sunday-Friday, July 21 - 26, 2019
Camp Kinard / Heritage at Lowman / Rice Estate

Cost : $95 Application Deadline – Two weeks before the start of camp. Contact Pastor Eric after this date.

Staff needs: Up to 25 rising 9th through graduated 12th graders, plus at least 1 male and 1 female 21 years or older.

This camp is a Love Project of the SCLCY organization. The purpose of this event is to build relationships between the generations and to share God’s love in SERVICE to others. If this is not your primary reason for wanting to participate in this camp, do not complete this application. If, on the other hand, you do wish to commit these days to serving the needs of others, prayerfully answer the following questions.

Registration begins at 7pm. We will NOT eat dinner. Please bring snacks and breakfast items for the week to share.

Completing and submitting this registration constitutes your signature, indicating that you agree to the following:

Unless indicated otherwise in the comments, completion of this registration grants photo release rights for social media, annual yearbook, slideshows, and other forms of printed and digital media.

***Please be certain to fill out the LCY Vital Information & Emergency Medical form!
(You only need to fill this out once per school year unless information changes. If you've attended an LCY event, you've probably completed this.)***

The cost per registrant is $95, but because many congregations supplement this cost, we prefer that payment for the retreat be arranged through the congregation. If you're paying individually, please contact

We can't wait to see you there!
Last Name *
Your answer
First Name *
Your answer
Gender *
Grade *
What grade are you in this school year? (If you're filling this out during the summer, what grade did you just complete?)
Home Congregation *
Your answer
Roommate Preference
Please choose only one.
Your answer
T-Shirt Size *
Name of Youth Leader *
If you don't have a youth leader, please give your pastor's name.
Your answer
Email — Parent & Youth Leader *
This information sends an email confirmation to the parent / guardian of our registrants and to the youth leader of the congregation to which the youth belongs. Type the emails separated by a comma (you can add other email addresses this way as well). They should look like this:,
Your answer
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