Encountering God 2025 Summer Camp

Please note: if you refresh your computer or phone at any time while filling out this form, your progress will not be saved, and you will have to re-enter the information.

You MUST pay for your camper's registration before submitting this form. Payment instructions appear after you enter your camper's information.

If you are registering more than one camper, you can pay for them all at once.

Camper Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Home Church (if applicable)
List of Medications (if any):*
Dietary Restrictions (if any):*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper*
Full Name of Person Authorized for Pick-Up:*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper*
Additional Need-To-Know Information
Please list any allergies, special accommodations, or other important details
Please Upload a copy of the camper's Insurance Card

Cancelof
Photo Permission
All children's photos taken during camp may be used for promotional advertising purposes unless otherwise indicated.
I DO give permission for my child's photo to be usedI DO NOT give permission for my child's photo to be used
Signature*

Payment Agreement
If you have NOT paid for your camper yet, and you click that below, you WILL NOT be able to submit this form.

Please make sure you have paid for your camper PRIOR to selecting "I have paid the camp registration for the above camper"
I have paid the camp registration for the above camperI HAVE NOT paid the camp registration for the above camper
Should be Empty:

Camper Information