FSM Youth Camp 2026

FSM Youth Camp 2026

July 14-18 at Glorieta Adventure Camp. Cost: $400, which includes a $100 deposit to hold your spot.
Student's Name

First NameLast Name
Birth Date

MonthDayYear
Student's Number (leave blank if student doesn't have one)
Format: (000) 000-0000.
Student's Email Address (leave blank if student doesn't have one)
example@example.com
Grade Completed
Gender
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shirt size (all adult sizes)

Other
Does your child have Allergies, Chronic Illness, or Medical Conditions? If so, Please Describe. If not, put n/a
Is your Child Prescribed any Medications? If yes, Please Describe. If no, put n/a.
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact E-mail Address
example@example.com
Emergency Contact Phone Number
Format: (000) 000-0000.
Relationship to Student (Mother, Father, Grandparent, etc.)
Informed Consent And Acknowledgement

By signing below, I hereby release First Baptist Church of Farwell and the adult supervising sponsors from all damages, injuries, claims, demands or cause of action I have arising from the events my son or daughter attend during the year of 2026, including the transportation to and from the events. Additionally, I authorize the adult supervising sponsors to consent to emergency medical treatment to be rendered to the minor named above, should that be deemed necessary.
Signature

Online Payment Options (only pick one)

Camp Registration Deposit (paying this secures your student's spot unless you choose to pay full cost below, which would also secure your student's spot.)

$100.00

Total Camp Cost

$400.00 Quantity

Half the Price of Camp (Pay the Rest Later)

$200.00

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

FSM Youth Camp 2026

Emergency Contact Information

Online Payment Options (only pick one)