'26 Youth Camp Registration

2026 Youth Camp Registration

June 15-19
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Church
Grade Completed
Age
Roommate Choices
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
While at Youth Camp, I will obey the rules of the Camp and Campground. I understand that my failure to obey the camp regulations could result in my being sent home at my expense.
Student Signature
Parent/Guardian Release of Liability
I hereby release, Timber Lakes Camp and the Great Plains Region Missionary Church, Inc., the respective Board of Directors, officers, employees, agents and any other individuals officially connected withthe Great Plains Youth Camp, from any and all liability for damage to or loss of personal property, sickness, including COVID-19 and injury from whatever source (including death) as a result of participation in the Camp. If, during the course of my child's participation in Camp activities, she/he should become ill or sustain an injury, I hereby authorize you to obtain emergency medical or dental care. I understand the Camp does not provide medical coverage for my child(ren) and will assume financial responsibility for the bill incurred. I grant permission for photos or video taken of my child(ren at this event to be used in any camp publication or promotion.
Parent/Guardian Signature

My Products

Full Registration

$275.00

Deposit

Final payment due upon arrival to camp.

$75.00

Enter coupon

Total

$0.00

Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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2026 Youth Camp Registration

Parent/Guardian Release of Liability