OVCYC Registration Form
  • Ohio Valley Christian Youth Camp

  • Registration Form

  • Desired Week(s):*
  • Gender*
  • Birth Date*
     - -
  • Format: (000) 000-0000.
  • Member?
  • Parent & Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact

    Please list at least one contact that will not be on staff the same week as your child.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Medical Information

  • Format: (000) 000-0000.
  • Does your child take medications?*
  • Please check medications the nurse can give to your child:
  • Payment & Signature

  • prevnext( X )
    Registration Fee Product Image
    Registration Fee
    $133.00
      
    T-shirt Product Image
    T-shirt

    Enter description

    $15.00
      
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    Total
    $0.00
    • Check box(es) only if you plan to pay with Paypal. You will be directed to Paypal's website to complete the payment.
    • Change quantity if you want to pay for multiple campers at the same time.
    • If your congregation is helping pay the registration fee, enter your congregation's code in the box above to recieve the discount. Contact your congregation for the code.
      You do not need a code if the congregation is planning to pay the full amount.  Leave the boxes unchecked.  In the "Additional Information" box below, please type the name of the congregation that will pay the fee.
    • To preorder a shirt, please select your size below, regardless of your payment method. Shirts will be available for pick-up at check-in on the first day of camp.
  • T-shirt size (Optional):
  • During the week, we take photographs of various activities involving campers. By which incidentally, some photographs may capture your child's participation, directly or indirectly. These photos may be published through our website, social media pages, flyers or more. With this, we seek for your consent in allowing us to publish photos which may involve your child to the said platforms. Please provide your response by selecting your choice below:

    • I      *   the reproduction and publication of my child's photograph(s).      
    • By typing my name above, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
  • Should be Empty: