Evangel Student Registration Form

2025 Summer Camp Registration

All Evangel Campuses
Kids Camp *SOLD OUT*| 3rd-5th grade | July 21-25

Middle School Camp | 6th-8th grade | July 29-August 1

Registration after June 23 - $190

High School Camp | July 25-28 | 9th-12th Grade

Registration after June 23 - $190

The camper’s grade is based on what the student will be entering in the Fall.

2025 High School graduates are welcome to attend high school camp.
Camp Selection*
Kids Camp - 3rd-5th // Middle School Camp - 6th-9th // High School - 9th-graduated
Additional Items
Church Code
Only fill this in if you have been told to do so by your primary youth or student ministries pastor.
Water Bottle

$10
Camp Shirt - $15
All shirt sizes are in adult sizes.
Snack Shop Card
Money on Snack Shop Cards will be distributed at registration and can be used in the Camp Store, Snack Shop, and Coffee Shop. Money on Snack Shop Cards can also be given toward Speed the Light and BGMC offerings.
Missions Giving
Optional offering for BGMC (Kids Camp) or Speed the Light (Jr/Sr High)
Pay-It-Forward
Donate to scholarship another student to camp. Scholarships will be made available to students from your church first, if not needed, they will be made available to needs around the state, if still unused, funds will be applied to further the camp ministry at Lakewood Park Bible Camp.

Camper Information
Camper Name*

First NameLast Name
Gender*

MaleFemale
Mailing Address*

Street or PO Box

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
Date
Grade*
Grade as of fall 2025
Which Campus Will You Be Departing From?*
Relationship of person picking student up to participant
Desired Cabin Mates
Please list names separated by commas. Note that entering preferences in this field does not guarantee that these students will be roomed together.
Guardian Information
Parent/Guardian 1 Name*
Relation to Participant*
Primary Phone Number*

Area CodePhone Number
Email*
example@example.com
Parent/Guardian 2 Name
Relation to Participant
Parent/Guardian 2 Phone Number

Area CodePhone Number
Other Emergency Contact (optional)
Relation to Participant
Phone Number

Area CodePhone Number

Payment

USDTotal

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

2025 Summer Camp Registration