ENLIST 4 GOD Camper Application 2026

ENLIST 4 GOD Camper Application 2026
August 1-5, 2026
Please attach a picture of yourself along with this application.
Please send application to:
Aaron Yutzy
209 E 3^rd St.
Arthur, IL 61911
Or email to: contact@enlist4god.com

We will confirm receipt of applications after they are received. Please make sure your email address is written correctly.

Registration fees:
Earlybird - (Before May 15): $150
Standard - (May 16 - June 30): $175
Late - (July 1 - July 25): $200
Name:
Age:
Birthday:
Height:
Weight:
Tee-shirt size:
Address:
City:
State:
Zip code:
Phone number:
Email:
example@example.com
Church:
Pastor:
What goals do you have in your participation in ENLIST?
Please find a few people to commit to praying for you during this week (and list them here).
If under 18 please have a parent fill out the section below.
Parent Name(s)
Would you commit to praying for your son during this week?
What goals do you have in your son's participation in ENLIST?
Page 1 of 7

Medical Form
In case of an emergency, please contact:
at this number: Cell Phone:
Work Number:
Home Number:
Date of last Tetanus or TDAAP vaccine: (recommended to be up-to-date

MonthDayYear
Date
Do you have asthma? Diabetes? Epilepsy? If so, please explain:
Do you take medications regularly? If so, please explain:
Do you have disabilities? If so, please explain:
Do you have any critical dietary restrictions? If so, please explain:
Do you have any heart conditions? If so, please explain:
Do you have phobias or fears? If so, please explain:
Have you had any past injuries or surgeries? If so, please explain:
Page 2 of 7

Medical Insurance Coverage
Company:
Policy Number:
Address:
Phone Number:
Email:
example@example.com
I authorize by signature that the information provided is truthful and correct. Furthermore, I give my consent to the Camp leaders or other medical personnel to treat me/my son in an emergency situation.
Signature of Applicant:
(if under 18) Parent/Guardian Signature:
Date:

MonthDayYear
Date
Page 3 of 7

About You
We'd like for you to write a little about you and your life (spiritual journey) before you come to ENLIST. Here are some questions we'd like to have you answer in an essay style with 75-100 words. Your answers will remain confidential, so please be honest.
1. What is your purpose in life and how do you feel like you are fulfilling that?
2. What does loving others like Jesus mean to you?
3. Describe your journey with God and how he makes your life worth living.
4. What are the things you count as blessings about your relationship with your Father and what are the ways that you wish your relationship was better?
5. What are the things you count as blessings about your relationship with your Mother and what are the ways that you wish your relationship was better?
6. How does social media/technology affect you in good and bad ways?
7. How do you as a young man, reflect the character of God?
Page 4 of 7

ENLIST 4 GOD MINISTRIES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
IN CONSIDERATION of being permitted to participate in any way in any event ("Activity") at any time during the current calendar year, in conjunction with the ENLIST 4 GOD MINISTRIES, I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity.
2. FULLY UNDERSTAND that my PARTICIPATION IN THE ACTIVITY INVOLVES RISKS INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: RISK OF PROPERTY DAMAGE AND BODILY INJURY, INCLUDING, BUT NOT LIMITED TO, PERMANENT DISABILITY, PARALYSIS, AND POSSIBLY DEATH. These Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW. There may be OTHER RISKS or SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation, or that of the minor, in the activity.
3. HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE the sanctioning organization(s), their administrators, directors, agents, officers, members, volunteers, and employees, other participants, officials, rescue personnel, sponsors, advertisers, owners and leases of Premises on which the Activity is conducted, (each of the foregoing shall be considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim.
I ACKNOWLEDGE THAT I AM AGE 18 OR OLDER, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT
PRINTED NAME OF PARTICIPANT:
PARTICIPANT'S SIGNATURE:
ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE:
DATE:

MonthDayYear
Date
Page 5 of 7

ENLIST 4 GOD MINISTRIES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
MINOR RELEASE: (Must be completed by Parent/Guardian for any participant under the age of 18)
AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITY AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDICTION TO PARTICIPATE IN SUCH ACTVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.
PRINTED NAME OF PARENT/GUARDIAN:
PARENT/GUARDIAN SIGNATURE:
ADDRESS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE:
DATE:

MonthDayYear
Date
Page 6 of 7
Attach your picture here.

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ENLIST 4 GOD Camper Application 2026

August 1-5, 2026

Medical Form

Medical Insurance Coverage

About You

ENLIST 4 GOD MINISTRIES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

ENLIST 4 GOD MINISTRIES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

MINOR RELEASE: (Must be completed by Parent/Guardian for any participant under the age of 18)