Sovereign Grace West Region Youth Camp 2025

Name/City of Church*

Number of Attendees *

Attendee Name*

First NameLast Name

Gender*

Grade going into (Fall 2025)*

I, Leader, acknowledge that I have read and understood the above document (Brightlines Form)*

Birthday*

T Shirt Size*

Food Allergies*

Environmental Allergies*

Any medication that needs to be given at camp (name and dosage) *

Are Camp Leaders allowed to administer over the counter medications during camp*

YesNo

Breakout Session with a Question and Answer Session 7/12 @ 2:30 - 4pm*

Does What I Listen To Matter? Taught by Jon VoganChristianity and Competing Worldviews Taught by Steve WhittacreRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/12 @ 4- 5pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

Breakout Session with a Question and Answer Session 7/13 @ 1:30 - 3pm*

Does What I Listen To Matter? Taught by Jon VoganWhy You Need a Church Taught by Josh PayneRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/13 @ 4:30pm - 5:30pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children*

Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional materialNo, I do not give my permission of pictures or videos of myself and/or children tobe used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed

Attendee Name*

First NameLast Name

Gender*

Grade going into (Fall 2025)*

I, Leader, acknowledge that I have read and understood the above document (Brightlines Form)*

Birthday*

T Shirt Size*

Food Allergies*

Environmental Allergies*

Any medication that needs to be given at camp (name and dosage) *

Are Camp Leaders allowed to administer over the counter medications during camp*

YesNo

Breakout Session with a Question and Answer Session 7/12 @ 2:30 - 4pm*

Does What I Listen To Matter? Taught by Jon VoganChristianity and Competing Worldviews Taught by Steve WhittacreRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/12 @ 4- 5pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

Breakout Session with a Question and Answer Session 7/13 @ 1:30 - 3pm*

Does What I Listen To Matter? Taught by Jon VoganWhy You Need a Church Taught by Josh PayneRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/13 @ 4:30pm - 5:30pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children*

Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional materialNo, I do not give my permission of pictures or videos of myself and/or children tobe used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed

Attendee Name*

First NameLast Name

Gender*

Grade going into (Fall 2025)*

I, Leader, acknowledge that I have read and understood the above document (Brightlines Form)*

Birthday*

T Shirt Size*

Food Allergies*

Environmental Allergies*

Any medication that needs to be given at camp (name and dosage) *

Are Camp Leaders allowed to administer over the counter medications during camp*

YesNo

Breakout Session with a Question and Answer Session 7/12 @ 2:30 - 4pm*

Does What I Listen To Matter? Taught by Jon VoganChristianity and Competing Worldviews Taught by Steve WhittacreRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/12 @ 4- 5pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

Breakout Session with a Question and Answer Session 7/13 @ 1:30 - 3pm*

Does What I Listen To Matter? Taught by Jon VoganWhy You Need a Church Taught by Josh PayneRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/13 @ 4:30pm - 5:30pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children*

Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional materialNo, I do not give my permission of pictures or videos of myself and/or children tobe used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed

Attendee Name*

First NameLast Name

Gender*

Grade going into (Fall 2025)*

I, Leader, acknowledge that I have read and understood the above document (Brightlines Form)*

Birthday*

T Shirt Size*

Food Allergies*

Environmental Allergies*

Any medication that needs to be given at camp (name and dosage) *

Are Camp Leaders allowed to administer over the counter medications during camp*

YesNo

Breakout Session with a Question and Answer Session 7/12 @ 2:30 - 4pm*

Does What I Listen To Matter? Taught by Jon VoganChristianity and Competing Worldviews Taught by Steve WhittacreRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/12 @ 4- 5pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

Breakout Session with a Question and Answer Session 7/13 @ 1:30 - 3pm*

Does What I Listen To Matter? Taught by Jon VoganWhy You Need a Church Taught by Josh PayneRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/13 @ 4:30pm - 5:30pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children*

Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional materialNo, I do not give my permission of pictures or videos of myself and/or children tobe used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed

Attendee Name*

First NameLast Name

Gender*

Grade going into (Fall 2025)*

I, Leader, acknowledge that I have read and understood the above document (Brightlines Form)*

Birthday*

T Shirt Size*

Food Allergies*

Environmental Allergies*

Any medication that needs to be given at camp (name and dosage) *

Are Camp Leaders allowed to administer over the counter medications during camp*

YesNo

Breakout Session with a Question and Answer Session 7/12 @ 2:30 - 4pm*

Does What I Listen To Matter? Taught by Jon VoganChristianity and Competing Worldviews Taught by Steve WhittacreRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/12 @ 4- 5pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

Breakout Session with a Question and Answer Session 7/13 @ 1:30 - 3pm*

Does What I Listen To Matter? Taught by Jon VoganWhy You Need a Church Taught by Josh PayneRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/13 @ 4:30pm - 5:30pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children*

Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional materialNo, I do not give my permission of pictures or videos of myself and/or children tobe used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed

Attendee Name*

First NameLast Name

Gender*

Grade going into (Fall 2025)*

I, Leader, acknowledge that I have read and understood the above document (Brightlines Form)*

Birthday*

T Shirt Size*

Food Allergies*

Environmental Allergies*

Any medication that needs to be given at camp (name and dosage) *

Are Camp Leaders allowed to administer over the counter medications during camp*

YesNo

Breakout Session with a Question and Answer Session 7/12 @ 2:30 - 4pm*

Does What I Listen To Matter? Taught by Jon VoganChristianity and Competing Worldviews Taught by Steve WhittacreRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/12 @ 4- 5pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

Breakout Session with a Question and Answer Session 7/13 @ 1:30 - 3pm*

Does What I Listen To Matter? Taught by Jon VoganWhy You Need a Church Taught by Josh PayneRomance (or lack thereof) and the Christian Life by Rich Richardson

Free Time Activity on 7/13 @ 4:30pm - 5:30pm*

Make Friendship Bracelets / Paint and Color (sit inside and paint, color, draw, or create bracelets during this free time event)Ultimate Frisbee (get your running shoes on and join us on the large field while we play a couple games of Ultimate Frisbee - we will explain the rules if you have never played!)9 Square and Various lawn games (join us for various games like Corn Hole, Viking Chess, Spike Ball, or 9 Square)Coffee Shop (Bring your money and buy a specialty coffee, ice cream/dessert, or Emmanuel Pines merch. Please be aware that these will be the only times the Coffee Shop will be open and available to us)

We will be taking pictures to document camp. These pictures may be used by the attending churches and/or Emmanuel Pines for promotional purposes on social media and/or websites. Out of respect for the rights of the parents to maintain control over their own and their children’s presence on the internet, please let us know if you are comfortable with us taking photos and videos of you and/or your children*

Yes, I give permission for pictures and videos of myself and/orchildren to be used for promotional materialNo, I do not give my permission of pictures or videos of myself and/or children tobe used for promotional material. If you do not give permission, I understand that it is my responsibility to email kristin@centergilbert.com to send a photo of the participant that does not want to be photographed

Parent Name*

First NameLast Name

Parent Email*

example@example.com

Parent Phone Number*

Please enter a valid phone number.

Emergency Contact Name and Phone Number (if different than above)

Insurance Information (Insurance name, policy number, member's name and birthday)*

I, Student, acknowledge that I have read and understood the above document (2025 Youth Camp Information Packet)*

I, Parent, acknowledge that I have read and understood the above document (2025 Youth Camp Information Packet)*

My Products*

Youth Camp 2025Sign up for Youth Camp! Registration closes June 30, 2025

$300.00 Quantity

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Sovereign Grace West Region Youth Camp 2025

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Refunds are available until July 1, 2025