2025 YM Camp Registration

Building Habits for Discipleship - 2025 Stake Young Men's Camp

Registration Form
Packing List

o 3 changes of clothes + the ones you wear to camp

o   Swimming Trunks

o Flashlight with extra batteries

o   Hiking shoes

o Tennis shoes

o Water shoes (flip flops, sandals, or old tennis shoes)

o   Scriptures

o   Raincoat/poncho

o   Sunscreen

o   Bug spray

o   Any medicines you may need

o   First aid kit (this can be one kit per ward)

o   Tent/hammock (rain fly is needed as it will probably rain)

o   Sleeping bag and pillow

o   Towel

o   Water shoes

o   Pajamas

o   Camping chairs recommended

o   Toothpaste and toothbrush

o   Soap

o   Deodorant

o   Snacks

o   Board games you would like to play

o   Sports equipment you want to play with

o   Fishing gear if you want to fish, including license if you are over 16 years old or over

- Mountain Bike, Helmet, and bike lock (if you have one and want to participate in the mountain biking activity) You are responsible to transport your bike to and from camp.
Full name*
I have a question: Who do I reach out to?

Stake Young Men Camp Director: Bobby Fike @ 717-491-4505 (c)

bobby-san@hotmail.com

Stake Young Men President: Matthew Hurley @ 717-729-5501 (c)

matt@hurleyauctions.com

Stake Young Men Counselor: Adam fulton @ 717-860-4312 (c)

fultondds@gmail.com

Stake Young Men Secretary: Mike Zimmer @ 717-372-0093 (c)

zimster.mz@gmail.com
Youth Information
Ward/Branch*

Visiting with my friendBeaver CreekChambersburg 1Chambersburg 2City ParkCumberlandHagerstown Branch (Spanish)HancockKeyser
Youth's Email*
The email provided above is:*

YM's email addressParent's email address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YM's Phone Number*
Please enter a valid phone number - if it is the same as the parent's number please enter that here.
Parent's Phone Number*
Please enter a valid phone number.
Birthdate for YM*

MonthDayYear
Date
What is your age?*

Turning 12 in 2025Turning 13 in 2025Turning 14 in 2025Turning 15 in 2025Turning 16-18 in 2025
What grade will you be entering in the fall of 2024 ?*
T-Shirt size (in adult sizes only) * NOTE* They usually run small - if it doesn't fit we will not have any extra shirts available to "trade up" with. If in doubt, make it one size up!*

XSSMLXL2XL3XL
Activities

1) Scheduled Activity Options - Bike Hike, Trail Hiking, Kayaking, Swimming

2) Free-time Activity Options - Everything from Football to Chess

3) Hands-on Skill Building Workshops - Fire-building, Cooking, First aid, Survival, Wild Game Processing, Automotive

4) Discipleship Skill Building - Journals, Scripture Study, Regular Meaningful Prayer, Scripture Memorization

5) Extra Mile Activites - Early Morning Exercise and Scripture Study

6) Competitions

7) Challenges

8) Personal Time - Fishing, reading, studying, napping, etc.

9) Firesides - Fun and Spiritual
The scheduled activities noted above will each take between 2-3 hours on Thursday morning and afternoon. Please make two selections below (No big deal if you have to change your mind. We just need to have an idea of about how many participants we need to plan for). If you plan to participate in the Biking activity, you will need to provide your own equipment (bike and helmet). It will be your responsibility to transport your bike to and from camp, and to secure it while at camp. We strongly recommend bringing a bike lock.*

Bike HikeTrail HikeCanoeingSwimming
Allergies*
Do you have any allergies? If so, what are they? - if none, type N/A
Dietary Concerns*
Do you have any dietary restrictions? If so, what are they? - if none, type N/A
Is the YM taking any medication or over-the-counter (OTC) drugs?*

YesNo
If yes, can the YM self-administer his medication?

YesNo. If no, a leader will reach out to you directly
Medications*
Please list all medications you must be taking while at YM camp. Please make sure they come to camp in the original container AND that you make your Camp Leader aware once you check in for camp. If you don't have any, type N/A
In case of an emergency, who do we call?*

Name

Street Address

CityState / Province

Postal / Zip Code
Phone Number*
Please enter your emergency person's phone number.
Medical Information
Insurance Company
Policy Number
Member Name
Doctor's Name
Doctor's Phone Number
Please enter a valid phone number.
Occasionally, photos of campers are included on our social media platforms. In order for your son's image to be included in these areas, Hagerstown Stake YM Camp must have your approval.*

YES Hagerstown Stake YM Camp does have permission to use images of my child on their social media platforms.NO Hagerstown Stake YM Camp does not have permission to use images of my child on their social media platforms.
Additional information or concerns - is there anything else you would like us to know about your son?*
PARENTS/GUARDIANS/ADULT LEADERS: I understand that my son will be leaving camp and traveling to other activities. I understand that at these locations my daughter will be participating in water activities that may include swimming, rafting, nature walks and I give my consent for participation. I have watched both videos and understand the participation requirements for each option. I hereby release The Church of Jesus Christ of Latter-day Saints of all responsibility and liability due to loss or injury to his/her person or property while at these activities and traveling to and from these locations. *

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I give permission for my child or youth to participate in the event and activities listed above (unless noted) and authorize the adult leaders supervising this event to administer emergency treatment to the above-named participant for any accident or illness and to act in my stead in approving necessary medical care. This authorization shall cover this event and travel to and from this event. The participant is responsible for his or her own conduct and is aware of and agrees to abide by Church standards, camp or event safety rules,and other pertinent instructions. Participants’ conduct and interactions should abide by Church standards and exemplify Christlike behavior. Parents and participants should understand that participation in an activity is not a right but a privilege that can be revoked if they behave inappropriately or if they pose a risk to themselves or others.*

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PARTICIPATING YOUNG MEN: "Glorify God in your body and in your spirit" (1 Corinthians 6:20) As a representative of Jesus Christ, I agree that my behavior, my language, dress and appearance will be in line with the standards in the For the Strength of Youth manual: https://www.churchofjesuschrist.org/study/manual/for-the-strength-of-youth?lang=eng
PARTICIPATING YOUNG MEN: Please sign*

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Building Habits for Discipleship - 2025 Stake Young Men's Camp

Packing List

I have a question: Who do I reach out to?

Youth Information

Activities

Medical Information