• Yth Camp 1 - Leader Registration

    June 1-5, 2026
  • Your church has not signed up for camp yet.

    The MAIN CONTACT from your church must fill out the Church Registration form.

     

  • Select which one applies for this year:*
  • Leader Information

  • Gender at birth*
  •  / /
  • Format: (000) 000-0000.
  • Emergency Contact

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Please Answer the Following Questions

    If you are a credentialed minister or are filling this form out for a second time this section will be blank
  • Is there anything in your life right now that could disqualify you from leading students (morally, legally, or spiritually)?*
  • Are there any habits or behaviors in your life that you wouldn’t want students to imitate?*
  • Do you live an active Christian life by reading your Bible, spending time in prayer, and being faithful to attending church?*
  • Do you smoke, use tobacco or vape?*
  • Camp Leader Roles

    Move the boxes under the picture from most interested to least interested. (Head Coach, Rec Director, and Support Director are assigned positions)
  • Image field 155
  • I want to be on the Food Service Team/Popstand (If you select "Yes" you will be automatically added to this team unless needed elsewhere)*
  • Medical Information

  • Insurance Information

  • Do you have health insurance?*
  • Format: (000) 000-0000.
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  • Leader Consent Form

  • Medical Release
    I certify that I am in good health and able to participate in camp activities. I give my consent for the Director or a properly appointed staff member of Nebraska NxtGen Ministries to secure and authorize emergency medical treatment on my behalf, including transportation, hospitalization, treatment, surgery, and/or medications, as deemed necessary by licensed medical professionals.

    I understand that every reasonable effort will be made to contact my emergency contact in the event of an emergency. However, if contact cannot be made, I authorize such treatment as deemed necessary for my well-being. I accept full responsibility for any medical expenses incurred.


    Assumption of Risk & Liability Release
    I understand that participation in camp activities involves inherent risks, including recreational activities, travel, and physical exertion. I voluntarily assume all risks associated with my participation.

    I agree to release, waive, and hold harmless Nebraska NxtGen Ministries, the Nebraska Ministry Network, The Crossing Retreat Center, and their respective directors, officers, employees, agents, and volunteers from any and all liability, claims, demands, or causes of action arising out of or related to any injury, illness, loss, or damage that may occur during my participation, except in cases of gross negligence.


    Leader Conduct & Agreement
    I understand that serving at Nebraska NxtGen Ministries Camp is both a privilege and a responsibility. I agree to:

    -Conduct myself in a manner consistent with biblical standards and Christian character
    -Follow all camp policies, procedures, and expectations outlined in the Camp Staff Manual
    -Support and submit to camp leadership and direction
    -Create a safe, respectful, and spiritually healthy environment for students
    -Refrain from any inappropriate, harmful, or unscriptural behavior
    -I understand that failure to comply with these expectations may result in dismissal from camp at my own expense.


    Pastoral Acknowledgment
    I give permission for Nebraska NxtGen Ministries to contact my pastor or church leadership, if needed, regarding my character and suitability for serving with students. I waive any right to review references provided on my behalf.


    Media Release
    I grant permission for Nebraska NxtGen Ministries and the Nebraska Ministry Network to use photographs, video, and audio recordings of me for promotional, educational, and ministry purposes in any medium, without compensation.


    Dress Policy Agreement
    I understand and agree to follow the camp dress policy:

    Only appropriate and modest clothing is permitted. Clothing displaying indecent, suggestive, or profane writing, images, or slogans is not allowed. Shirts must not expose the midriff or sides of the torso (for both males and females).

    Ladies: Bra straps and bralettes must be covered. Leggings must be worn with tops that extend to mid-thigh. Shorts and skirts must be at least mid-thigh length.

    Camp staff reserve the right to require a leader to change attire if deemed inappropriate.


    Background Check Acknowledgment (If not already completed)
    I understand that serving at camp may require a current background check in accordance with Nebraska Ministry Network policies. I agree to comply with any required screening process.

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  • Pre campers

  • What is Pre-Camp?

    Pre-Camp is a camp within a camp for the children of Leaders.
    Parent/Legal Guardian must be attending camp as a leader with their pre-camper(s).
    Parent/Legal Guardian should not be a dorm leader at the camp they are attending.
    Pre-campers will be roomed with their parent/guardian.
    Cost: $135 per child

    Age limits: 

    Youth Camp - 2-11 Years old
    Kids Camp - 2-6 Years old

     

    To register your precamper click this link and it will open a new window fill it out once you are done registering as a leader:https://pci.jotform.com/NEAG/-pre-camper-reg

    Dont forget to finish you registration first!

  • Payment

  • Payment Overview

    Registration $ {typeA89}.00
    Merchandise $ {totalDue79}.00
         
    TOTAL DUE $ {totalDue}.00
  • Payment Overview

    Registration $ {typeA89}.00
    Merchandise $ {totalDue79}.00
    Credit Card Fee $ {typeA}
         
    TOTAL DUE $ {typeA85}
  • prevnext( X )
    USD

    Credit Card

  • PAYMENT MUST BE SUBMITTED TO YOUR CHURCH

  • FOOD SERVICE/POPSTAND DOES NOT PAY

    If team is full and we need you else where we will reach out to you. 

  • Should be Empty: