Walnut Creek Stake YM Camp Registration
Young Man's Name
*
First Name
Last Name
Ward or Branch
*
Clayton
Concord
Hilltop
Martinez
Northgate
Oakland 10th
Pleasant Hill
Richmond
Ygnacio Valley
Camp Year 2026
*
1st Year (turning 12 in 2026)
2nd Year (turning 13 in 2026)
3rd Year (turning 14 in 2026)
4th Year (turning 15 in 2026)
5th Year (turning 16 in 2026)
YCL (turning 17 in 2026)
High Adventure (turning 18+ in 2026)
Birthdate
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Young Man's Email
*
example@example.com
Young Man's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Young Man's T-Shirt Size (Adult Sizes)
*
XS
S
M
L
XL
XXL
Arrival Date (Start of Camp is 6/29/2026)
-
Month
-
Day
Year
Date
Departure Date (End of Camp is 7/4/2026)
-
Month
-
Day
Year
Date
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Consent for Water, Camping, Sports and Hiking Activities: I give permission for my above named Young Man to participate in swimming, canoeing, and other water activities at Young Men's Camp. He is physically and medically able to do so and agrees to abide by the set dress standards in swimming attire. This includes modest swimwear, and no street clothes in the lake as it impedes the lifeguards' ability to rescue a struggling swimmer. Closed toed shoes must also be worn in the lake specifically to avoid fishing hooks on the shore. Further, I understand camp is an experience with camping/sleeping under the stars, hiking, archery, axe throwing, gun shooting, arts, crafts, outdoor skills and other experiences and activities. My Young Man has permission to engage in all prescribed camp activities. I also understand that I am responsible to come pick up my Young Man from camp should he become ill or injured. I understand by typing my name below I am giving consent for, and agree to, the above.
*
My Child is Classified as a
*
Non-swimmer
Beginning swimmer
Intermediate swimmer
Advanced swimmer
Please provide any comments or notes to the above questions here
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