Download the registration here or fill out the form below.

Register Now for the 2019 Camp Season!

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Camper Name
Date of Birth
Emergency Number
Home Address
Phone Number
Your Email
Parent / Guardian Name
Registering for Junior (7-11) or Senior (12-18) Camp?
New or Returning Camper?
How did you find out about Camp?
Is there anyone your camper wishes to be in a Cabin with? (Please enter their name below) We will do our best to accommodate.
Please list any Medications that will need to be taken at camp. (or N/a)
Please list any Allergies (or N/a)
Please list any Communicable Diseases (or N/a)
Please list any Physical Limitations (or N/a)
Please list any Dietary Restrictions (or N/a)
Is the camper up to date on his/her immunization shots? (Yes or No)
Date of last Physical?
Doctor's Name and Phone Number
Health Insurance Name and Policy Number
Any other information that we may need to know?
I hereby agree to allow photographs that may contain my child to be used in future Y.E.S. Camp advertising. (Yes or No)
I allow my child to participate in the non-denominational baptism ceremony if they so choose. (Yes or No)
Please indicate your camper's approximate swimming level.
*Please enter your electronic signature as an agreement to the statement below.
T-Shirt Size
Submit
*I, the parent or legal guardian of the camper name in this registration form, do hereby give my permission for this camper to attend YES Camp 2018. I give my permission to the Camp Director or his agent in the case of emergency to seek medical attention for my camper. I further agree to be responsible for any costs involved for said services. I agree to hold YES Camp/The River of Life Christian Fellowship, and it's staff blameless in the case of an accidental injury or loss of any kind. Should it become necessary for my camper to return home before the end of the week, I will be responsible for the transportation of my camper. I agree to pay all fees related to the camp as listed in this registration form. I understand there will be a $20.00 fee imposed beyond any charged for returned checks. I have read the rules to my camper and give my affirmation that he/she does understand the rules. YES Camp will NOT be responsible for the loss or damage of any personal electronic devices including, but not limited to, cell phones.