Visalia Stake Girls Camp Registration

Visalia Stake Girls Camp Registration

June 27 - July 1, 2023 YCL's June 26 - July 1, 2023
Registration for camp requires different forms and permission slips in addition to this online form.

You MUST print and fill out the forms linked below and give them to your YW President BEFORE registration closes!

Click here download and print the "LDS Parent or Guardian Permission and Medical Release Form"

If you need to get the printable form again, simply return to this page and select the links above. You do not need to register again.
Young Womans Name*

First NameLast Name
Date of Birth*

MonthDayYear
Grade in the 2023-2024 school year?*
Ward?*
T-Shirt Size (Adult Sizes Only)*
Parent/Guardian Name*
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
2nd Emergency Contact
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian Email Address*
Yes, I give permissionNo, I do not give permission
Cost: $125 per person.

**ONLINE REGISTRATION WILL CLOSE ON 4/15/2023!

**ALL MONEY WILL BE DUE ON OR BEFORE 5/1/2023!

Make checks payable to the Young Womans own Ward. Give all money and forms to the Ward YW President.

Note to Leaders and Ward Clerks! Each Ward will write one check to Visalia California Stake with the memo of Girls Camp 2023. The amount of the check should be for girls attending. (Example- 15 girls x $125 = $1815.00)

Dress Standards:

Please dress appropriately for each activity. Activities and schedules will be given to you so you can dress accordingly. Refer to "For the Strength of Youth" pamphlet.

Follow the camp rules:

Stay in camp, respect others and their belongings. Respect camp facilities, leaders, staff, and YCL's.
By entering my name and date below, I am acknowledging the rules and agree to abide by the standards outlined in the "For the Strength of Youth" Pamphlet. *
Date

MonthDayYear
Date
Activity Permission and Consent
Yes, I give permissionNo, I do not give permission
By entering my name and date below I give permission and consent for my child to participate in the rappeling, hiking, and other outdoor activities. I understand there are inherent risks involved with this activity and hold all leaders harmless in the event of an injury. *
Name of Parent/Guardian
Date

MonthDayYear
Date
Medical Information and Treatment Consent

Does your Young Woman have any of the conditions listed below?

If you do not wish to put this information here, you may click the link below and print this section of the registration form. Please fill it out and give it to the Young Women's President of your daughters Ward.

Click here for a printable Medical/Medication and Activity Release Form

Without this information, your Young Woman will not be allowed to attend.
I am printing the form and filling out a hard copy.I am filling out the online form
NoneSpecial DietAllergiesSerious Allergic Reactions/AnaphylaxisChronic/recurring illnessSurgery/serious illness within the past yearDiabetesAsthmaPhysical conditions that limit activityOther
Please explain/describe any of the selected conditions.
If you indicated that your child may have severe allergic reactions or susceptible to Anaphylactic shock. You must have your child bring an Epi-Pen or other medication needed to control the reaction. You cannot rely on there being another EPI-Pen available. Please indicate what allergen your child is severely allergic to and then include your name as acknowledgement.
Allergen(s) and Parent/Guardian Name
Non-Prescription Medication Information and Consent
By entering my name and date below, I give permission for my daughter to take Non-Prescription medicines administered by the nurse (such as: Benadryl, Sudafed, Tylenol, Ibuprofen, Pepto Bismol, etc.). If necessary, the camp nurse will provide/administer these medications. Medications must be given to a WARD CAMP LEADER, MEMBER of the STAKE YW PRESIDENCY, or CAMP NURSES prior to camp.
Name of Parent/Guardian
Prescription Medication Information and Consent
YesNo
MEDICATIONS

This form needs to be filled out only if you are sending medication with your daughter to camp.

Please note that any medication sent to camp will require the offical Church signed parent/guardian permission slip. This includes allergy medication and inhalers. Please read the instructions below carefully, sign, and return to your ward Young Women President prior to attending camp or on the day of departure. If written permission is given by parent/guardian, a camper will be allowed to keep her inhaler with her.

All prescription medication must be in the original bottle from the pharmacy with doctor’s instructions. All over the counter medication must also be in its original container, and stored in a large Zip-loc bag with the camper’s name and ward boldly labeled with indelible ink. Please give this medication to your Young Women President prior to attending camp or on the day of departure.

Type a question

Rows	Medication?	Dose?	How Often?	For What Purpose?
1
2
3
4
5
6

Camp Email
Camp Email
Should be Empty:

Visalia Stake Girls Camp Registration

Non-Prescription Medication Information and Consent

Prescription Medication Information and Consent