Youth Registration (Due June 27)
This is the youth registration form for the 2021 Deacon's Outdoor Adventure for the Bloomfield Hills Michigan Stake.

Camping - Hiking - Outdoor cooking - Kayaking - Swimming - Other Outdoor Activities
Camp Dates: July 14-17, 2021
Event Address: Kensington Metro Park, Group Camp Rd, Milford, MI 48381
Stake Adventure Leader: Dan Jensen; 586-549-7131; danjens89@gmail.com

Registration questions are addressed to parents and adventurer so online registration should be done TOGETHER, with parents and adventurer sitting side by side.
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Adventurer First Name *
Adventurer Last Name *
Adventurer Date of Birth (Month, Day, Year): *
MM
/
DD
/
YYYY
Address: *
Primary telephone number: (please clarify if this is your cell or a parent's or home phone number) *
Adventurer's Email (for receiving camp information):
Parent's Email (for receiving camp information): *
What Ward/Branch do you attend? *
👕 T-shirt Size * T-shirts will be unisex-sized shirts. *
Required
Swimming Self-Evaluation (parents please validate) *
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