Girls Camp Young Women Registration
YW Name
*
First Name
Last Name
Ward or Branch
*
Clayton
Concord
Hilltop
Martinez
Northgate
Oakland 10th
Pleasant Hill
Richmond
Ygnacio Valley
Camp Year 2025
*
1st Year
2nd Year
3rd Year
4th Year
YCL
High Adventure
Birthdate
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
YW or Parent Email
*
example@example.com
YW or Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
T-Shirt Size
*
XS
S
M
L
XL
XXL
Do you have a Lanyard
*
Yes
No
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Parent/Guardian Consent for Water, Camping, Sports and Hiking Activities: I give permission for my above named daughter to participate in swimming, canoeing, and other water activities at the YW’s Camp. She 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, quilts, crafts, outdoor skills and other experiences and activities. My daughter has permission to engage in all prescribed camp activities. I also understand that I am responsible to come pick up my daughter from camp should she 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
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