Sovereign Grace West Region Youth Camp 2026
Friday July 10, 2025 - Monday July 13, 2026 Emmanuel Pines, Prescott AZ
Name/City of Church (please type city as well as church name as there are many churches with the same name)
*
Number of Attendees
*
Please Select
1
2
3
4
5
6
Attendee Name #1
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Age at time of camp (July 2026)
*
Please indicate the adult attending camp that will be chaperone to underage child. The Chaperone understands and agrees that any child they bring who are underage for Youth Camp remain under their full supervision at all times. The Chaperone accepts full responsibility for any actions, behaviors, damages, or disturbances caused by their child during the event. The Chaperone further agrees to indemnify and hold harmless the organization, its staff, and volunteers from any liability or claims arising from the presence or actions of said child.
*
Adult or Student
*
Please Select
Adult
Student
Chaperone's Email
*
example@example.com
I acknowledge that I have read and understood the above document (Brightlines Form)
*
Birthday
*
-
Month
-
Day
Year
Date
T Shirt Size
*
Please Select
Adult XSmall
Adult Small
Adult Med
Adult Large
Adult XLarge
Adult XXLarge
Adult XXXLarge
Food Allergies
*
Environmental Allergies
*
Any medication that needs to be given at camp (name and dosage)
*
Are Camp Leaders allowed to administer over the counter medications during camp
*
Yes
No
Breakout Session 7/11
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
Breakout Session 7/12
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children
*
Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional material
No, I do not give my permission of pictures or videos of myself and/or children to be used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed
Attendee Name #2
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Age at time of camp (July 2026)
*
Please indicate the adult attending camp that will be chaperone to underage child. The Chaperone understands and agrees that any child they bring who are underage for Youth Camp remain under their full supervision at all times. The Chaperone accepts full responsibility for any actions, behaviors, damages, or disturbances caused by their child during the event. The Chaperone further agrees to indemnify and hold harmless the organization, its staff, and volunteers from any liability or claims arising from the presence or actions of said child.
*
Adult or Student
*
Please Select
Adult
Student
Chaperone's Email
*
example@example.com
I acknowledge that I have read and understood the above document (Brightlines Form)
*
Birthday
*
-
Month
-
Day
Year
Date
T Shirt Size
*
Please Select
Adult XSmall
Adult Small
Adult Med
Adult Large
Adult XLarge
Adult XXLarge
Adult XXXLarge
Food Allergies
*
Environmental Allergies
*
Any medication that needs to be given at camp (name and dosage)
*
Are Camp Leaders allowed to administer over the counter medications during camp
*
Yes
No
Breakout Session 7/11
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
Breakout Session 7/12
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children
*
Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional material
No, I do not give my permission of pictures or videos of myself and/or children to be used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed
Attendee Name #3
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Age at time of camp (July 2026)
*
Please indicate the adult attending camp that will be chaperone to underage child. The Chaperone understands and agrees that any child they bring who are underage for Youth Camp remain under their full supervision at all times. The Chaperone accepts full responsibility for any actions, behaviors, damages, or disturbances caused by their child during the event. The Chaperone further agrees to indemnify and hold harmless the organization, its staff, and volunteers from any liability or claims arising from the presence or actions of said child.
*
Adult or Student
*
Please Select
Adult
Student
Chaperone's Email
*
example@example.com
I acknowledge that I have read and understood the above document (Brightlines Form)
*
Birthday
*
-
Month
-
Day
Year
Date
T Shirt Size
*
Please Select
Adult XSmall
Adult Small
Adult Med
Adult Large
Adult XLarge
Adult XXLarge
Adult XXXLarge
Food Allergies
*
Environmental Allergies
*
Any medication that needs to be given at camp (name and dosage)
*
Are Camp Leaders allowed to administer over the counter medications during camp
*
Yes
No
Breakout Session 7/11
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
Breakout Session 7/12
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children
*
Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional material
No, I do not give my permission of pictures or videos of myself and/or children to be used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed
Attendee Name #4
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Age at time of camp (July 2026)
*
Please indicate the adult attending camp that will be chaperone to underage child. The Chaperone understands and agrees that any child they bring who are underage for Youth Camp remain under their full supervision at all times. The Chaperone accepts full responsibility for any actions, behaviors, damages, or disturbances caused by their child during the event. The Chaperone further agrees to indemnify and hold harmless the organization, its staff, and volunteers from any liability or claims arising from the presence or actions of said child.
*
Adult or Student
*
Please Select
Adult
Student
Chaperone's Email
*
example@example.com
I acknowledge that I have read and understood the above document (Brightlines Form)
*
Birthday
*
-
Month
-
Day
Year
Date
T Shirt Size
*
Please Select
Adult XSmall
Adult Small
Adult Med
Adult Large
Adult XLarge
Adult XXLarge
Adult XXXLarge
Food Allergies
*
Environmental Allergies
*
Any medication that needs to be given at camp (name and dosage)
*
Are Camp Leaders allowed to administer over the counter medications during camp
*
Yes
No
Breakout Session 7/11
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
Breakout Session 7/12
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children
*
Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional material
No, I do not give my permission of pictures or videos of myself and/or children to be used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed
Attendee Name #5
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Age at time of camp (July 2026)
*
Please indicate the adult attending camp that will be chaperone to underage child. The Chaperone understands and agrees that any child they bring who are underage for Youth Camp remain under their full supervision at all times. The Chaperone accepts full responsibility for any actions, behaviors, damages, or disturbances caused by their child during the event. The Chaperone further agrees to indemnify and hold harmless the organization, its staff, and volunteers from any liability or claims arising from the presence or actions of said child.
*
Adult or Student
*
Please Select
Adult
Student
Chaperone's Email
*
example@example.com
I acknowledge that I have read and understood the above document (Brightlines Form)
*
Birthday
*
-
Month
-
Day
Year
Date
T Shirt Size
*
Please Select
Adult XSmall
Adult Small
Adult Med
Adult Large
Adult XLarge
Adult XXLarge
Adult XXXLarge
Food Allergies
*
Environmental Allergies
*
Any medication that needs to be given at camp (name and dosage)
*
Are Camp Leaders allowed to administer over the counter medications during camp
*
Yes
No
Breakout Session 7/11
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
Breakout Session 7/12
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children
*
Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional material
No, I do not give my permission of pictures or videos of myself and/or children to be used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed
Attendee Name #6
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Age at time of camp (July 2026)
*
Please indicate the adult attending camp that will be chaperone to underage child. The Chaperone understands and agrees that any child they bring who are underage for Youth Camp remain under their full supervision at all times. The Chaperone accepts full responsibility for any actions, behaviors, damages, or disturbances caused by their child during the event. The Chaperone further agrees to indemnify and hold harmless the organization, its staff, and volunteers from any liability or claims arising from the presence or actions of said child.
*
Adult or Student
*
Please Select
Adult
Student
Chaperone's Email
*
example@example.com
I acknowledge that I have read and understood the above document (Brightlines Form)
*
Birthday
*
-
Month
-
Day
Year
Date
T Shirt Size
*
Please Select
Adult XSmall
Adult Small
Adult Med
Adult Large
Adult XLarge
Adult XXLarge
Adult XXXLarge
Food Allergies
*
Environmental Allergies
*
Any medication that needs to be given at camp (name and dosage)
*
Are Camp Leaders allowed to administer over the counter medications during camp
*
Yes
No
Breakout Session 7/11
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
Breakout Session 7/12
*
Romance and Relationships: Uncovering how the gospel impacts friendship and companionship in a fallen world.
The Creative Arts and the Gospel: Exploring how one might practice and consume the creative arts for the glory of God.
Video Games, Social Media, and AI: Are video games, social media, and AI inherently evil? Unpacking how Christians can use these mediums for God's glory.
We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children
*
Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional material
No, I do not give my permission of pictures or videos of myself and/or children to be used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name and Phone Number (if different than above)
Insurance Information (Insurance name, policy number, member's name and birthday)
*
2026 Youth Camp Information Packet
To be signed by each youth-aged attendee
I, Attendee #1, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
I, Attendee #2, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
I, Attendee #3, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
I, Attendee #4, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
I, Attendee #5, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
I, Attendee #6, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
I, Parent, acknowledge that I have read and understood the above document (2026 Youth Camp Information Packet)
*
My Products - Make sure to change the quantity to reflect the number of attendees
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Youth Camp 2026
Sign up for Youth Camp! Registration closes June 30, 2026
$
325.00
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Refunds are available until June 8, 2026. Cancelations after that date may not be refunded.
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