Yuba City Stake AP Camp Youth Registration 2026

AP Camp Youth Registration

Yuba City Stake AP Camp | June 16th through June 20th, 2026
Camper's Name

First NameLast Name
Camper's Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Camper's Age as of June 16th, 2026
Camper Stake
Campers Ward
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's Email
example@example.com
Emergency Contact's Name

First NameLast Name
Relationship
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alt. Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Medical Information
Camper's Height
Camper's Weight
Tetanus Vaccination
The camper and his guardian understand that all medications, supplements, vitamins, etc. brought to camp must come in their original containers with labels intact (not in a pill box or mixed together in a bag or bottle) and be turned in to the camp medical staff upon arrival. After being checked by the medical staff, the youth will be allowed to keep emergency medications with him at all times.

Please list any medications, supplements, vitamins,etc. that the camper will take while attending AP Camp. Include the name,dosage, reason for taking it, and time(s) to take it. If there are any changesto this list prior to the beginning of AP Camp, such changes must becommunicated to the Health Care Supervisor before arrival at camp. If nomedications are being sent with the youth, please type "N/A" in thefirst cell.

Rows	Medication	Dosage	Reason/Condition	Time(s)
#1
#2
#3
#4
#5
#6

On occasion, youth need over the counter (OTC)medications or first aid treatments while at camp. For example, Tylenol for aheadache or fever, Motrin for a sprained ankle, or creams for sunburns or bugbites. These treatments and medications will be administered according to thedirections for use and appropriate dosing on the label, at the discretion andunder the direct supervision of the Health Care Supervisor.
Answer only if you selected "Yes, ... EXCEPT FOR THEMEDICATIONS/TREATMENTS LITED BELOW" for the question above. Please list those OTC medications or treatments that you do NOT want given to your youth. It is not required, but the reason for withholding the medication or treatment would also be helpful to list.
Please list any allergies, including food, drug, or environmental, and the required treatment. If your youth requires an Epipen or rescue inhaler, please send the life-saving device to camp! We do not have supplies of these, and your youth may not be allowed to stay in camp if he does not bring it with him. If your youth does not have any allergies, please type "N/A."
Pleaseremember that all devices and medications must be checked-in by the medicalstaff upon arrival at camp. Medications such as Epipens, inhalers, diabetesrescue medications, etc. will be checked and then campers will be able to keepthem with them at all times to ensure their availability during an emergency.
Identify any other limitations, restrictions, or disabilities that could prevent your youth from fully participating in this camp. Identify any other needs or considerations that the camp leaders should be aware of.

AP Camp Youth Registration

Registration

Medical Information

Permissions