2026 Youth Camp Registration

Camp Registration Form

Kids Camp | June 15-18 | Grades 1st-5th
Middle School Camp | June 22-25 | Grades 6th-8th
High School Camp Week 1 | June 29-July 3 | Grades 9th-12th
High School Camp Week 2 | July 6-10 | Grades 9th-12th

*NOTE: Grade level marked is for the UPCOMING school year.

Registration starts on Monday (First day of your Camp) @ 12:30pm

Dismissal of Kids Camp & Middle School is Thursday @ 9am
Dismissal for HS camp is Friday (Last day of your Camp) @ 9am

Kids & Middle School Camp

Early Bird Registration Fee (Ends April 13th):
$155.00

Standard Registration Fee (April 14th- June 1st)
$190.00

Late Registration Fee (Begins June 2nd):
$215.00

High School Week 1 & 2

Early Bird Registration Fee (Ends April 13th):
$175.00

Standard Registration Fee (April 14th - June 1st)

$210.00
Late Registration Fee (Begins June 2nd):
$215.00

*We will not accept mailed in registrations. Full payment due upon submission of your registration form. $75 of your full payment is non-transferable and non-refundable due to admin fees. All partial refund requests must be submitted by email to youth@flcog.cc within 20 days from the start date of students specific camp. If your student checks in at registration NO refund will be made.

Statement of Reservation
While no one is rejected to work or attend Church of God Youth Camp on the basis of race, color, or creed, the State Youth Director reserves the right to accept or reject an application for Church of God Youth Camps.
Camper Info

Please fill out your child's information
Please Select Your Camp*
Student's Age*
Student's Name*

First NameLast Name
Select One*

MaleFemale
Date of Birth*

MonthDayYear
Date
Upcoming Grade Level*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father/Guardian Full Name*

First NameLast Name
Mother/Guardian Full Name*

First NameLast Name
Parent/Guardian Phone Number*

Area CodePhone Number
Alternative Phone Number*

Area CodePhone Number
Parent/Guardian Email Address*
example@example.com

Church Information

Please fill out your church information
Do you currently attend a local Church of God?*
Name of local church you attend*
Pastor's Name*

First NameLast Name
Youth Leader's Name*

First NameLast Name
Youth Leader's Email*
example@example.com

Roommate Preferences

We cannot guarantee your roommate preference, however we will do our best to accommodate requests that are submitted at least 14 days prior to the start of your selected camp.
Room with my Church?

YesNo
Roommate Preference
Dorm Leader Preference
Camper Agreement
As a camper of the Church of God Youth Camp, I agree to abide by the rules and policies of the camp during my stay at camp. I understand that any deliberate breach of conduct or disregard of camp rules will necessitate disciplinary action, even to the extent of being asked to leave the camp. I understand that the Florida Church of God Youth Camp is a private Church and Christian camp. I agree to conduct myself according to the principles and biblical beliefs of the Church of God during my participation at the camp. Any conduct which violates these principles and beliefs may be grounds for my dismissal from the camp, the transportation and other costs of which will be my responsibility. The camp administration retains full and sole discretion to dismiss me from the camp, for any reason it deems necessary.
Campers Name*

First NameLast Name
Camper Signature*

Payment Page

*Note full payment due upon submission of this form. Canteen cards are available for purchase on site at KIDS CAMP ONLY. Digital Camp Video sales will be available at all camps for $10.

My Products*

YDYC Early Bird MS & HS Registration Fee$175.00

YDYC Kids Camp Early Bird Registration $155.00

Enter coupon

Total $0.00

Should be Empty:

	Yes	No
Acetaminophen (compared to active ingredient in Tylenol)
Ibuprofen (compared to active ingredient in Advil)
Diphenhydramine HCI (compared to active ingredient in Benadryl)
Guaifenesin (compared to active ingredient in Robitussin or Mucinex)
Bismuth Subsalicylate (compared to active ingredient in Pepto Bismol)
Calcium Carbonate Antacid (compared to active ingredient in Tums)
Hydrocortisone Cream 1% for itching/rash

Camp Registration Form

Camper Info

Church Information

Roommate Preferences

Camper Agreement

Medical Information

A parent/guardian must complete this section.

Insurance Information

Parent / Guardian must complete this section

Please list any person authorized to pick up camper other than Parent / Guardian? Only names listed below will be allowed to pick up/check out campers.

Payment Page