NG Youth Camp Registration Form 2026
PLEASE READ CAREFULLY:
Camper First & Last Name/Primer Nombre y Apedllido:
*
First Name
Last Name
Address/Domicillio:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Church/Iglesia Local:
*
Pastor's Name:
*
Camper Phone number/Numero Telefonico:
*
Format: (000) 000-0000.
Email/Correo Electronico:
*
example@example.com
Age/Edad: (the age limit for this camp is at least 14 years old. / La edad minima para este campamento es 14 anos de edad.)
*
Emergency Contact Name/Contacto de Emergencia:
*
Emergency Contact Phone/Numero Telefonico:
*
Format: (000) 000-0000.
In case of an emergency, are you taking or allergic to any medications? En caso de emergencia, esta usted tomando medicina o es alergico a cierta medicina?
*
Are you baptized in Jesus name/es bautizado?:
*
Do you have the Holy Ghost/Tiene el Espiritu Santo?
*
The Apostolic Assembly of the Faith in Christ Jesus, inc. is not responsible for loss of personal belongings (i.e.stolen money, clothing, personal belongings), sicknesses, injuries and deaths to any persons that may occur on the way to the retreat, during the retreat or returning from the retreat. La Asamblea Apostolica de la Fe en Cristo Jesus, Inc. no es responsable de cualquier perdida de articulos personales (por ejemplo: dineros, ropa, etc.), enfermedades, accidentes, lesiones y muertes a personas que puedan producirse en el camino al retiro, durante el retiro, regresando del retro
By signing below, I agree to the above information / Al firmar, usted está de acuerdo con la información en esta aplicación.
Camper Signature/Firma del Campero
*
Parent's Signature/Firma del Padre (If under 18 years old)
Pastor Signature:
*
Date/Fecha:
*
-
Month
-
Day
Year
Date
Send camp deposit of $75 to one of forms of payment:
Cashapp: $NorthGen
Venmo: @Northwestgeneration
Zelle:
Northwestgeneration@gmail.com
When sending online forms of payment, please add name of camper in payment note
Pre-registration deposit is due by May 31st, 2026
Pre-registration payment in full will be $235, at-the-door registration payment will be $250
If you have any questions, please contact us/Si tienes alguna pregunta contactanos:
northwestgeneration@gmail.com
Preview PDF
Save
Submit
Should be Empty: