Camp Online Registration

CAMP ONLINE REGISTRATION

We are excited that you (and your family, perhaps) will join us for the 2026 Family & Youth Bible Camp. Below is a form that will walk you through the entire process. Please follow the easy steps. At the bottom of the registration, we will have our required $50/per camper deposit form. Registration is complete when the deposit is received. We look forward to seeing you at camp in July!

PARENT/GUARDIAN INFORMATION
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent / Guardian Email*
Parent / Guardian Phone Number*

Area CodePhone Number
What's your home church (if any)?
What's your lodging preference? If your 6th-12th grade child is staying with you and not in a dorm, please note in our final question.

Camp / RV SiteLodge Accommodations

CAMPER INFORMATION
CAMPER #1 (THIS IS YOU, IF APPLICABLE)
Camper #1 Name*
Camper #1 Grade Completed @ June 2026*
Camper #1 T-Shirt Size*
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.*

CAMPER 2
Camper #2 Name
Camper #2 Grade Completed @ June 2026
Camper #2 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

CAMPER 3
Camper #3 Name
Camper #3 Grade Completed @ June 2026
Camper #3 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

CAMPER 4
Camper #4 Name
Camper #4 Grade Completed @ June 2026
Camper #4 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

CAMPER 5
Camper #5 Name
Camper #5 Grade Completed @ June 2026
Camper #5 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

CAMPER 6
Camper #6 Name
Camper #6 Grade Completed @ June 2026
Camper #6 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

CAMPER 7
Camper #7 Name
Camper #7 Grade Completed @ June 2026
Camper #7 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

CAMPER 8
Camper #8 Name
Camper #8 Grade Completed @ June 2026
Camper #8 T-Shirt Size
Does this camper have any allergies (including food), chronic illnesses, or medical conditions. If yes, please describe here.

HEALTH INSURANCE

ONLY REQUIRED IF PARENT IF PARENT/GUARDIAN IS NOT ATTENDING CAMP WITH CHILD
Health Insurance Provider
Health Insurance Phone Number

Area CodePhone Number

RELEASE OF LIABILITY FORMS
I hereby give my approval for all campers noted above to participate in any and all activities completed during this camp. I assume all hazards and risks incidental to the conduct of the activities and absolve, hold harmless, and release Family Youth and Bible Camp and all its respective agents, officers, and representatives from any and all liability for injuries to all campers noted above arising out of traveling to, participating in, or returning from this camp.*

Yes, I Agree
As parent and/or guardian of all campers noted above, I hereby authorize the diagnosis and treatment by a licensed and qualified medical professional of all campers noted above in the event of a medical emergency which in the opinion of the attending medical professional requires immediate attention to prevent further endangerment of life, physical disfigurement, physical impairment, or undue discomfort, pain, or suffering if delayed.*

Yes, I Agree

PROVIDE US ANY FURTHER INFORMATION WE MIGHT NEED

Let us know if you have specific allergies or other accommodations that we need to know. Also, if you have a 6th-12th grade student staying with you instead of in the dorm, let us know the student's name here.
Any comments or questions?

PAYMENT PAGE
YOUR CAMP BALANCE

Your balance can be paid in advance or upon in-person registration via a check made out to St Paul's Lutheran Church, FYBC2026 in the memo (if mailing in check - Jennifer Crozier, 2181 County Road 3000 North Rantoul, IL 61866). NO DEPOSIT REQUIRED FOR TEACHERS, SPEAKERS, COUNSELORS, AND STAFF.
I will be paying my deposit by (choose one)*

Sending a check (see above)Paying with my card (use debit/credit below)Paying with PayPal (click below)I am a teacher, speaker, counselor, and/or staff member
My Products
prevnext( X )
Deposit Per CamperPlease choose the number of people attending camp and pay the $50/per camper required deposit.
$50.00 Quantity

Product Name
$ Free Quantity

Total

$0.00
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CAMP ONLINE REGISTRATION