IDCN JRS Camp Registration 2026

IDCN JRS Camp 2026

July 13 - July 16 | Oak Glen Christian Conference Center
Registration Notice:
- One registration form per camper/junior
- Camp registration cost (per camper): $330
- Ages 9-14 only
- If there are no cabin selections available, you will have an option to join a waitlist. Please proceed with completing this form.
- Registration officially closes June 26, 2026.

1st Day of Camp

MonthDayYear
Date
Number
Are you the parent of the camper you are registering?*

YesNo
Registration Contact Type
Relationship to camper
Please enter your full name, email, and phone

This information is helpful in case we need to contact the actual person who filled out the registration. Thank you for your understanding.
Registration Contact - First Name
Registration Contact - Last Name
Registration Contact Email
example@example.com
Registration Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Parent / Guardian Information

(All correspondence and and invoices will be sent to this person)
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Cell Phone*
Format: (000) 000-0000.
Parent/Guardian Work Phone
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Occupation
Relationship with the Camper*
Emergency Contacts and Authorized Pick Up Persons

Must be different from Parent/Guardian
Enter emergency contact (other than parent) below. Click "Add" to enter more than one. *
Medical Information

*A separate medical consent form is required by the campsite and this form will be sent to the listed parent/guardian email at a later time. Type N/A if none.
List Any Allergies and Dietary Restrictions*
Medications & Frequency*

Payment
Camp Registration Cost (Per Camper) - $330
Payment Options:

We are pleased to offer subscription plan (automatic recurring monthly payments) options to make camp registration cost a little easier to manage. Take advantage of our available payment plans below before they expire!

Payment Options

Camp Registration [Payment Plan - 2 Months]

2 Month Payment Plan @ $165.00/month + card processing fee. This plan option is no longer available after 05/26/2026.

$165.00 for each month

Camp Registration [Full Payment]

Full $330.00 one-time payment + card processing fee. To avoid the card processing fee, enter “ZELLE” in the coupon code field. Leave the credit card fields blank and click NEXT to complete registration. You will receive an email with Zelle payment instructions after registration is submitted. ⚠️ Payment must be received within 3 business days to secure the registration. Unpaid registrations will be automatically voided.

$330.00 one-time payment

Enter coupon

Subtotal

$0.00

Tax

$0.00

Credit Card

Payment Plan Terms & Conditions
Acknowledge Recurring Payment
You acknowledge that this is a recurring payment plan and not a one-time charge. You authorize the the first payment to be charged at time of registration completion. Enter “YES” above.

Terms & Conditions
No Electronics Policy
Non-Refundable/Non-Transferable
Cabin Selection
Medical Consent
Pastoral Consent
Registration Signature

By signing, I confirm that the information provided is correct and that I have reviewed and agree to the terms and conditions outlined above. I also acknowledge and consent to automatic monthly charges to the payment method provided, in accordance with the payment plan I have selected.
Waitlist Registration Signature

By signing, I confirm that the information provided is correct and that this registration is for a waitlist registration which does not guarantee my child a spot at camp.
Should be Empty:

IDCN JRS Camp 2026

Registration Notice:

Please enter your full name, email, and phone

Camper's Information

WARNING! ONLY AGES 9-14 ARE ALLOWED.

Boy Cabin Selection

Girl Cabin Selection

Important Notice About the Camp Waitlist

Additional Camper Information

Parent / Guardian Information

Emergency Contacts and Authorized Pick Up Persons

Medical Information

Payment

Camp Registration Cost (Per Camper) - $330

Payment Options:

Credit Card

Payment Plan Terms & Conditions

Terms & Conditions