Smart PDF Form

PLEASE READ CAREFULLY:

Camper First & Last Name/Primer Nombre y Apedllido:

First NameLast Name

Address/Domicillio:

Street Address

Street Address Line 2

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:

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 not already complete the camp waiver form, you will need to do so. Here is the link: https://www.waiverfile.com/b/LakeRetreatCamp/Waiver.aspx?id=1fb7e559-1b36-4f71-a3a3-0d2816a5255a

If you have any questions, please contact us/Si tienes alguna pregunta contactanos: northwestgeneration@gmail.com

NG Youth Camp Registration Form 2026