• VAY SOCAL SUMMER CAMP 2026 Registration Form

    July 29 - Aug 2
  • Camp Start Date
     - -
  • Image field 244

  • Join us for VAY SoCal Summer Camp 2026.  This year we continue our journey in the book of James.  Our theme this year is "Living Faith" where we dive into James 2.

    Summer Camp is for high school students who just completed 9th-12th grades.  Please fill out this registration form to reserve your spot at camp.  Camp fee is $450 ($500 if late) and registration deadline is Tuesday, June 23rd.  Any submissions after the deadline will incur a late fee.  Availability is on a first-come, first-serve basis.

    For more information, please email vaysocal.reg@gmail.com

    We all look forward to sharing life with you on Wednesday, July 29th at Verdugo Pines Bible Camp in Wrightwood!


    In Christ,
    VAY SoCal Summer Camp Staff

  • We are grateful to have Pastor Kent Hirano join us this year for Summer Camp.  He loves Jesus, his wife, Claire, and their daughter, Karis.  

    He serves as the college pastor of Imago Dei Church, in Bellflower, CA, where his passion is to see people fall in love with Jesus and grow in their relationship with him. He issues a challenge to any brave student who dares to face him in a three point shootout, ping pong match, or a game of speed chess. Introduce yourself! He would love to get to know you. 

  • WHAT TO BRING:

  • Note: Please DO NOT bring any electronic entertainment devices (this includes but are not limited to IPads, tablets of any kind, Nintendo Switch, handheld gaming devices, etc.), tobacco, vapes of any sort, drugs/drug paraphernalia, or alcohol.

    *Medication note: All prescription and non-prescription medication must be turned into the nurse's station upon check-in.

  • TRANSPORTATION

  •  

    Departing From: VN District Office   Departing Date: Wednesday, July 29, 2026
    Address: 2275 W. Lincoln Ave, Anaheim, CA 92801   Check-in: 12:00 PM
    Phone: (714) 491-8007   Bus Departure: 02:00 PM
    Email: vaysocal.reg@gmail.com      

     

    All campers and staffers must be transported by bus departing at 2:00 pm.
    No individual student vehicles will be allowed on the campground.
    For staff, vehicles will only be allowed on campgrounds upon approval by Planning Staff.

    For questions, please email: vaysocal.reg@gmail.com

     

    Camp: Verdugo Pines Bible Camp   Return Date: Sunday, August 2, 2026
    Camp Address: 22400 Big Pines Hwy, Valyermo, CA 93563   Return Time: 04:00 PM
    Phone: (760) 249-3532      

     

     

  • Registering as:*

  • REGISTRATION IS CLOSED

  • PAYMENT INFORMATION (Staff)

  • Camp Fee 

    Full payment is required for registration to be complete.  Staff who register online without full payment will have an incomplete registration.  NO DEPOSITS WILL BE ACCEPTED. Thank you for understanding.

     

    Registering BY Tuesday, June 23rd 11:59 PM PDT, camp fee is $400 ($375 if you paid retreat fee of $25).
    Registering AFTER Tuesday, June 23rd will result in camp fee being $500.
    You have until Tuesday, July 7th to pay the camp fee in full. 

     Payment Options:

    1. Zelle payment online (information below)
    2. Church Check payment must be postmarked by deadlines.

    WE RECOMMEND STAFF COMPLETE PAYMENT THROUGH THEIR CHURCH REPRESENTATIVE.  (e.g. pay camp fee to your church and the church will either make a Zelle payment for the group or send in a check with payments for the full amount for their Staffer)

     

  • PAYMENT INFORMATION (HS Student)

  • Camp Fee 

    Full payment is required for registration to be complete. Campers who register online without full payment will have an incomplete registration. NO DEPOSITS WILL BE ACCEPTED. Thank you for understanding.

     

    Registering BY Tuesday, June 23rd 11:59 PM PDT, camp fee is $450.
    Registering AFTER Tuesday, June 23rd will result in camp fee being $500.
    You have until Tuesday, July 7th to pay the camp fee in full.

     Payment Options:

    1. Zelle payment online (information below)
    2. Church Check payment must be postmarked by deadlines.

    WE RECOMMEND CAMPERS COMPLETE PAYMENT THROUGH THEIR CHURCH REPRESENTATIVE. (e.g. pay camp fee to your church and the church will either make a Zelle payment for the group or send in a check with payments for the full amount for their campers)

     

  • I will be paying the full amount by:*

  • PAY BY CHECK & MAIL

  • Instructions for Check Payments

    1. Make checks payable to: VAY
    2. Include name of camper and Church on check, please click on this LINK to download, print and fill out Check Submission Slip and mail check to:

    Vietnamese Alliance Youth
    Summer Camp Registration
    2275 W. Lincoln Ave. Anaheim, CA 92801

  • PAY THROUGH ZELLE

  • Instructions for Zelle Payments

    1. Log into your online account for your bank or institution and navigate to the payment/transfer section
    2. Under the Zelle option, initiate a Zelle payment to email address VAYFinance@gmail.com (or scan QR code below through your bank app)
    3. Input the amount of payment/transfer and submit to send
    4. Under message/memo, please include the following information: “Name of event/description, Full name (church)” and email

    Some banks may have character restrictions, so for your email you will need to spell out your email like in the example.

    Example: “VAY Summer Camp deposit, John Doe (Orange)”, johndoe@gmail.com (or johndoeatgmaildotcom)

    Scan in your banking app to pay VAYFinance@gmail.com:

  • PARTICIPANT INFORMATION

  • Date of Birth:*
     - -
  • Gender:*
  • Format: 000 000 - 0000.

  • PARENT/GUARDIAN/EMERGENCY CONTACT INFORMATION

  • Format: 000 000 - 0000.
  • Format: 000 000 - 0000.

  • INITIAL OF PARENT OR GUARDIAN REQUIRED FOR PERMISSION TO PARTICIPATION IN THE FOLLOWING CAMP ACTIVITIES:

  • ROCK WALL:
  • ARCHERY:
  • SWIMMING POOL:
  • LAKE CANOE:

  • PAINTBALL:

    (MUST HAVE FINISHED SENIOR YEAR OF HIGH SCHOOL TO PARTICIPATE IN PAINTBALL. VOUCHERS FOR PAINTBALL ARE $25 AT CAMP STORE)
  • PAINTBALL:

  • MEDICAL INFORMATION

  • We ask that individuals (whether staff members or high school students) with underlying health conditions refrain from joining the camp.  The camp is located at a higher elevation and that may be a cause for concern for those who have high-risk health issues.  We also ask that individuals who are sick not attend the camp.  There will be a health and wellness check for all participants during registration before heading to the campsite.

  • CHECK BOX IF CAMPER/STUDENT HAS MEDICAL CONDITIONS:
  • DATE OF LAST TETANUS SHOT:
     - -

  • Medication note: All prescription and non-prescription medication must be turned into the nurse's station upon check-in

  • TERMS & CONDITIONS

  • THIS HEALTH HISTORY IS CORRECT SO FAR AS I KNOW AND THE PERSON I HEREIN DESCRIBED AS,

  • HAS PERMISSION TO ENGAGE IN ALL CAMP ACTIVITIES EXCEPT AS NOTED IN WRITING AUTHORIZATION FOR TREATMENT: I HEREBY GIVE PERMISSION TO THE MEDICAL PERSONNEL SELECTED BY THE CAMP DIRECTOR OF SOUTHERN CALIFORNIA BIBLE CONFERENCE TO ORDER X-RAYS, ROUTINE TESTS, TREATMENT; TO RELEASE ANY RECORDS NECESSARY FOR INSURANCE PURPOSES; AND TO PROVIDE OR ARRANGE NECESSARY RELATED TRANSPORTATION FOR ME/OR MY CHILD IN THE EVENT I CANNOT BE REACHED IN AN EMERGENCY.  I HEREBY GIVE PERMISSION TO THE PHYSICIAN SELECTED BY THE CAMP DIRECTOR TO SECURE AND ADMINISTER TREATMENT INCLUDING HOSPITALIZATION FOR THE PERSON NAMED ABOVE.  THE COMPLETED FORMS MAY BE PHOTOCOPIED FOR TRIPS OUT OF CAMP.  ALSO UNDERSTAND THAT MY PHOTO/VIDEO OR MY CHILD'S PHOTO/VIDEO MAY BE TAKEN AT CAMP.  I AUTHORIZE VERDUGO PINES BIBLE CAMP TO USE THESE PHOTOS/VIDEOS FOR THE CAMPERS ENJOYMENT AND PROMOTIONAL PURPOSES.  THIS AUTHORIZATION SHALL REMAIN EFFECTIVE UNLESS REVOKED IN WRITING.

  • In case we cannot be reached during an emergency, I (we) undersigned give permission to be treated by a licensed physician, and for said physician to administer whatever care is necessary, including anesthesia, for their safety and care. I (we) also understand that the Vietnamese Alliance Youth is not liable for any injury or incident during this event.

  • RISKS ASSOCIATED WITH CORONAVIRUS/COVID-19

    We are following Verdugo Pines’ guidelines for participation at camp and they follow the guidelines and protocol given by the County of Los Angeles Public Health and the Governor of California.  These protocols include implementing social distancing measures, increased hand-washing and other hygienic practices, wearing of face coverings and frequent cleaning of common surfaces.  Despite such precautions, the risks associated with transmission of COVID-19 remain high.  The nature of many activities makes it difficult at times to observe all of the recommended precautions all of the time.  As a result of participation in the activities of the ministry and proximity to other participants, you or your child may be exposed to the risk of infection of communicable diseases, including COVID-19.  Symptoms associated with COVID-19 range from mild to severe, and include fever, cough, difficulty breathing, headache, nausea, severe respiratory distress and death.  By signing this form and allowing your child to participate in this Vietnamese Alliance Youth event: camp at Verdugo Pines you voluntarily assume the risk associated with participation.

  • Date:*
     - -
  • Date*
     - -

  • If you want to make changes/edits later to your registration form, you can do so with the provided link in the email confirmation you will receive after submitting.

  • Should be Empty: