Teens Camp Registration!
Hi! We're so excited for you to join us this year at Teens Camp! I know you're wondering what we'll be doing so let me fill you in:

Teens Camp is a youth summer camping trip and retreat happening June 28th to July 2nd this year! It is a time for fun, learning, songs, and spending time in God's presence and creation. We will be camping in tents outdoors and enjoying swimming at the beach, canoeing, hiking, star-gazing, and camp fire time.

Every effort will be taken to ensure your child's safety and well-being, however please note that swimming will be at the participant's own risk since no life guards are present at the beach.

A packing list will be sent out closer to the date.
Email address *
First Name *
Your answer
Last Name *
Your answer
Gender
Date of Birth (type in option is easiest)
MM
/
DD
/
YYYY
Age *
Your answer
I am... *
Health Card Number
Your answer
Allergies
Your answer
Medical Concerns
Your answer
Medications
Your answer
Family Doctor's Name
Your answer
Family Doctor's Contact Number
Your answer
Street Address
Your answer
City
Your answer
Postal Code
Your answer
Name of Parent/Guardian
Your answer
Relationship to You
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Emergency Contact Name
Your answer
Relationship to You
Your answer
Contact Number
Your answer
Do you have a tent you can bring/lend?
I will be getting to Teens Camp by: *
Required
I will be getting back from Teens Camp: *
Required
Are there any special accommodations you need transportation (late arrival/early return). Please give specific arrival and departure dates. Please understand we may not be able to accommodate all requests.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service