Young Men Camp Registration

Young Men Camp Registration
Participant Details
Register for 2026 Young Men Camp, held June 3–6 (Wed–Sat). This supervised overnight camp, sponsored by the Ivins Utah Stake, includes outdoor recreation, service, instruction, and group activities designed to promote personal growth, leadership, and positive decision-making in a safe and welcoming environment.
ParentYouthAdult LeaderAdult Volunteer
Participant First Name*
Participant Last Name*
Participant Date of Birth*

MonthDayYear
Date

Contact Information
Participant Address*

Street Address

Street Address Line 2
CityStateZip Code
Participant Email Address*
example@example.com
Participant Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian Name*
This will also be your emergency contact
Parent or Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent or Guardian Email*
example@example.com
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Medical & Permission

Acknowledgment and required permissions.
YesNo
Please explain the illness or condition.*
YesNo
Please explain the surgery or illness.*
YesNo
Please describe any limits, restrictions, or disabilities.*
Other accommodations or special needs (optional)
Please list any additional needs or considerations camp leaders should be aware of.
I have read and reviewed the Permission and Medical Release Form above. I understand that the information I have provided in this registration form constitutes completion of the attached PDF form. I understand that this activity is sponsored by the Ivins Utah Stake of The Church of Jesus Christ of Latter-day Saints, and I give permission for participation and authorize emergency medical treatment if necessary.*

I acknowledge and give permission
I acknowledge and agree
Participant Signature*

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This form will be emailed to your parent or guardian for approval!
Parent or Guardian Signature*

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Participant Details