2023 Alliance Stake YW Camp

2023 Alliance Stake YW Camp

The Church of Jesus Christ of Latter-day Saints
"I can do all things through Christ which strengtheneth me." Phillipians 4:13

Camp Dates

May 31 - June 3, 2023

Location

Cross Point Camp and Retreat Center

7310 Rock Creek Rd.

Kingston, Oklahoma 73439
Participant Information
Ward*
Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
T-shirt Size (adult sizes)*
There will not be a stake camp t-shirt this year. We are gathering this information for Wards who may opt to have ward t-shirts for camp.
Headshot

If possible, please upload a nice headshot of the participant for a project we will be doing at camp. (If you are unable to do so at this time, we will get one at a later date.)
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Parent/Guardian Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Second Phone Number (optional)
Please enter a valid phone number.
Email*
example@example.com
Emergency Contact
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Medical Information
Yes (please explain below)No
If yes, please explain the dietary restrictions.
Yes (please list below)No
If yes, please list the allergies.
Yes (please list below)No
If yes, please list all prescription or over-the-counter medications the participant is taking.
YesNo
Yes (please explain below)No
If yes, please explain any medical information the Camp Nurse should know about.
YesNo
YesNo
Other Accommodations or Special Needs
Identify any other needs, considerations, or disabilities that the event planner should be aware of.
Permissions
YesNo
YesNo
Climbing/Repelling Tower Permission Form

Please download, fill out, and sign the permission form for the Climbing/Repelling Tower found at the link below. The participant will not be able to participate in the Climbing/Repelling Tower without this form.

*Cross Point Camp requires orginal signature on the form.

https://drive.google.com/file/d/19C1qi18DUVeYPvfCp0TEgofQ2rnzI9MR/view?usp=sharing
Upload Completed Climbing/Repelling Tower Permission Form

If you are unable to upload the form, please turn into your Ward Camp Director or Ward YW Leader.
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Cross Point Camp Assumption of Risk Form

Please download, fill out, and sign the Assumption of Risk form for Cross Point Camp found at the link below. This form is required in order to attend camp.

*Cross Point Camp requires original signature on the form.

https://drive.google.com/file/d/1HZJtkKWiHqWe3fQIGqAd3AJl_sv2g5Ju/view?usp=sharing
Upload Completed Assumption of Risk Form

If you are unable to upload the form, please turn it into your Ward Camp Director or Ward YW Leader.
Cancelof
Permission & Medical Release Form

Please dowload, fill out, and sign the Permission & Medical Release form for The Church of Jesus Christ of Latter-Day Saints found at the link below. This form is required in order to attend camp.

*Please use original signature on the form.

https://drive.google.com/file/d/1LcCENflyseIAXffGwJ4zF-iyksniCZjw/view?usp=sharing
Upload Completed Permission & Medical Release Form

If you are unable to upload the form, please turn it into your Ward Camp Director or Ward YW Leader
Cancelof
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature

Clear
Questions?

Please contact Valerie Nankervis at vnankervis@gmail.com or Kari McClelland at mcclellk@hotmail.com
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2023 Alliance Stake YW Camp

Participant Information

Headshot

Parent/Guardian Information

Emergency Contact

Medical Information

Other Accommodations or Special Needs

Permissions