2026 Serve Camp Registration

2026 Serve Weekend Registration

May 22-25 | All ages (minors attend with parent or designated adult) | FREE!
Family Information
Head of household *OR* parent/guardian of minor(s) attending without you:*

Your first nameYour last name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
E-mail:*

Confirmation Email
Home Church:

Please list each attending family member, including head of household:*

Rows	First Name	Last Name	Adult or Minor
Family Member 1
Family Member 2
Family Member 3
Family Member 4
Family Member 5
Family Member 6
Family Member 7
Family Member 8

Minors (age 17 or younger) attending without a parent
PARENTS: If your child(ren) listed above will be attending with a youth group, friend's family, etc. instead of with you, please fill in the following information. Please also complete and submit the embedded Child Medical Information form below.
Name of attending adult responsible for your child:

First nameLast name
Phone number of attending adult responsible for your child:

Area CodePhone Number
E-mail of attending adult responsible for your child:

Confirmation Emailexample@example.com
Please fill in your child's medical and emergency information in the embedded medical form below (start by clicking "NEXT"). After you submit the embedded medical form, please continue to the bottom of the registration form to enter to submit your registration. Your child is not registered until you have submitted the registration form.

Please select accommodations in order of preference. *

Rows	1st Choice	2nd Choice	3rd Choice
Lower Camp Cabin
Hillside Camp Cabin
RV/Tent Site
Not staying overnight

Lodging is in bunkroom units with 10 beds each. If necessary, we may combine two or more families in the same unit. Please list any families that you would like to lodge with:
Note: We cannot accommodate special dietary preferences.

Please call 360-492-3451 or email office@pleasantvalleycamp.org with any questions or concerns about severe food allergies.

Please select the meals you and your family will be eating:

Rows	Breakfast	Lunch	Dinner
Friday (dinner only)
Saturday
Sunday
Monday (breakfast and lunch only)

YesNo
If yes, please describe any food allergies, chronic illness, or medical conditions you would like us to be aware of:
Clearing brush/trees/branchesDigging/trenchingGeneral labor, loading/unloading, hauling, etc.Indoor cleaning/organizingLandscaping/groundsOutdoor cleaning/organizingPaintingRoads/gravelSplitting/stacking firewoodTrail maintenanceWindow washing/screen buildingOther
Audio/videoCarpentry/constructionElectricalHandyman/general repairsHazard tree removalHeavy equipmentHVACMechanical/engine repairPlumbingRemodeling/finish workRoofingOther
YesNo
If yes, what project(s) would you like to lead?
Please list any equipment, tools, etc. you would like to bring:
Informed Consent and Acknowledgement

My family and I are fully aware of inherent hazards and risks. We choose to participate voluntarily and assume all risks of losses, damages, and injuries.

GENERAL RELEASE AND WAIVER
Recreational activities and use of the Pleasant Valley Christian Camp (PVCC) facilities and grounds include, but are not limited to, the following: volunteer work projects, laser tag; basketball, baseball, soccer, and volleyball; hiking trails; swimming pool; field games; archery; group games; campfires; arts and crafts; drama; music; athletic activities; limited transportation on and off the grounds, etc. I agree that my family and I are physically able to participate in all camp activities based on a physician’s examination.

In exchange for being allowed to participate in volunteer work projects, recreational activities and use of the facilities and grounds at PVCC, my family and I and our personal representatives, assigns, heirs, and next of kin hereby release, hold harmless, indemnify and defend PVCC (including its agents, employees, and representatives) from any and all liability for injury or damages including, but not limited to, death, bodily injury, personal injury, emotional injury, or property damage which may result from any person using the above-described property and participation in any activities, unless such injury or damage results from the intentional, willful or reckless acts by PVCC (including its agents, employees, and representatives).

IMAGE RELEASE AND WAIVER
I give permission to PVCC to use any photographs, videos, and audio recordings of my family and me for promotional materials, including the PVCC website and social media, without expectation of compensation, including, but not limited to, any royalties, proceeds, and/or other benefits derived from such photographs, videos, or audio recordings.
Medical Release and Authorization

I hereby authorize diagnosis and treatment by a qualified and licensed medical professional for my family members and me in the event of a medical emergency, which in the opinion of the attending medical professional requires immediate attention to prevent further endangerment of life, physical disfigurement, physical impairment, undue pain, suffering, or discomfort.

Permission is hereby granted to the attending physician to proceed with any examinations and medical or surgical treatment.

Permission is also granted to Pleasant Valley Christian Camp and its affiliates, including Program Staff and Camp Staff, to provide needed emergency treatment prior to admission to a medical facility.

Release authorized on the dates and/or duration of the registered program.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of my family members and me.

**Optional** If you would like to make a donation to to help cover the costs of camp projects and improvements, please enter it here:

USDDonation Amount

Credit Card

Confirmation

BY SUBMITTING THIS REGISTRATION, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT HAS THE SAME LEGAL EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Please stay on this page until it shows that your submission has been received. Check your email inbox for a confirmation message. If you do not receive a confirmation email, check your junk/spam mail folder.

Add office@pleasantvalleycamp.org to your email contacts to make sure you don't miss any communications from PVCC!
Should be Empty:

2026 Serve Weekend Registration

Note: We cannot accommodate special dietary preferences.

Credit Card