2026 Teen Camp Registration

Summer Camp Student Registration

CCD NYI Summer Camp will take place June 8-11, 2026 at Olivet Nazarene University and is open to students in 6th-12th grades as of Spring 2026.
Student's Name*

First NameLast Name
Student's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student's Local Church*
Student's Grade Spring 2026*
Gender*
Student's T-Shirt Size*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Cell Number*
Parent/Guardian Email*
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship to Student*

OLIVET WAIVER

I release and forever discharge OLIVET NAZARENE UNIVERSITY and its trustees, officers, employees, and agents, as well as the Districts and churches of the Church of the Nazarene, from any and all damages and causes of action which I may have as a result of my participation in the activity and while otherwise on the campus of the University in addition to any and all activities associated with Regional Celebrate Life and District Celebrate Life. I agree to indemnify and hold harmless OLIVET NAZARENE UNIVERSITY and its trustees, officers, employees, and agents, as well as the Districts and churches of the Church of the Nazarene, from any and all present or future claims, demands, or actions at law or in equity that may be made or brought by me or someone on behalf of me as a result of the activity or as a result of any other occurrence while on the campus of OLIVET NAZARENE UNIVERSITY in addition to any and all activities associated with Regional Celebrate Life and District Celebrate Life.

I hereby give authority to my district NYI President and/or Celebrate Life staff to obtain medical attention or to authorize treatment at any hospital in the event of a medical emergency. I also recognize the authority of all district sponsors and the Celebrate Life Staff as those who will supervise this event and uphold proper conduct. I understand that my son/daughter could be sent home and that I would be responsible for their transportation home and any destruction of property.
Parent/Guardian Signature*
Insurance Company*
Policy Number*
Allergies?*
Medication?*
All medication will be overseen by our camp nurse.

STUDENT COMMITMENT

In recognition of the vital role summer camp can play in the life of a student, it's important that every student and leader be on the same page regarding expectations. The desire of summer camp leadership is that each student will have an enjoyable experience, and that they'll be challenged, encouraged, and inspired in their faith.

To that end, there are a few basic ground rules that each summer camp participant will need to commit to:

1. During our time together, there will be separate living areas for guys and girls. At no time during camp should a student be in the living area of the opposite sex.

2. Please use discretion when choosing your swimwear.

3. Student's are not permitted to bring items that are sharp, make noise, or contain explosives. This includes, but is not limited to, the following items: knives, guns, fireworks, stereo systems, laser pointers, drugs, alcohol, vape pens, hover boards, scooters... you get the idea.

4. It is strongly encouraged and recommended that students leave valuables at home. Olivet Nazarene University and the Chicago Central District are not responsible for lost, damaged, or stolen items.

5. It is strongly encouraged and recommended that students leave their cell phones at home. Students that do bring a cell phone are permitted to make emergency calls. Students are not permitted to be on their phone during the day. The goal here is not to restrict access, but instead promote being present in the moment, with the people, and in the space you are in.

By signing this form, you agree that you're willing to cooperate with summer camp staff, adult leaders, and the staff of Olivet Nazarene University. Your cooperation is greatly appreciated.
Student Signature*

Cost: Regular Registration - $199 (by May 1), Late Registration - $250 (after May 1)

Please pay the camp fee to your local church. Each church will send one check to the district for all students and chaperones attending from your church.
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Summer Camp Student Registration

Cost: Regular Registration - $199 (by May 1), Late Registration - $250 (after May 1)