Youth - Individuals 2026

Program Selection
Please select the program according to the grade you will enter in the fall*

Middle School (upcoming 7th-8th graders)High School (upcoming 9th graders - college freshmen)College/Career (upcoming college sophomores or equivalent - age 25)
How long will you be attending?*

The entire encampment (Friday, June 19th - Friday, June 26th)Weekend Only (Friday, June 19th - Sunday, June 21st)

Drop-off Information

Campers will be signed in at drop off and signed out at pick up
How will you arrive/leave camp?*

I will be driving myselfSomeone is dropping me off/picking me up
Name of the person who will drop off this camper:*

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

Pick-up Information

Due to increased security measures, those picking up campers must be listed below & show ID. Campers will be signed in at drop off and signed out at pick up.
Name of the person who will pick up this camper:*

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

Activity Policy/Consent
Activity Participation:*

As parent or legal guardian I give my permission for him/her to participate in ALL activities, scheduled, sponsored, and conducted by the Bethlehem Family Camp Youth LeadersAs parent or legal guardian I give my permission for him/her to participate in SOME activities, scheduled, sponsored, and conducted by the Bethlehem Family Camp Youth Leaders
Please list the activity/activities you DO NOT want your child to participate in:*
Parent/Guardian Signature*

Please use your mouse/finger to sign your name
Participant Signature*

Please use your mouse/finger to sign your name
Signature Agreement*

Checking this box means that I agree to the policies above. I understand that my electronic signature above has the same legal validity and effect as my handwritten signature, and that it has the same meaning as my handwritten signature.

Policies/Consent (cont)
Photo Consent*

I give permission to Bethlehem Camp to use my child’s image for promotional materials.I DO NOT give permission to Bethlehem Camp to use my child’s image for promotional materials.
Parent/Guardian Signature*

Please use your mouse/finger to sign your name
Signature Agreement*

Checking this box means that I agree to the policies above. I understand that my electronic signature above has the same legal validity and effect as my handwritten signature, and that it has the same meaning as my handwritten signature.

Camper's Convenant & Electronic Agreement

Please read / have your student read the following covenant in its entirety. You will both sign below.
Electronic Agreement:*
Student Signature*

Please use your mouse/finger to sign your name
Parent/Guardian Signature*

Please use your mouse/finger to sign your name
Signature Agreement*

I understand that my electronic signature above has the same legal validity and effect as my handwritten signature, and that it has the same meaning as my handwritten signature.

Communication Preferences
We are committed to your privacy. We will not share your data with any third parties. We use the information you provide us to send you occassional news and updates about Bethlehem Camp. You may unsubscribe at any time.*

I agree to receive communications from Bethlehem Camp
Would you like to sign up for SMS communication? We will only text you if there is an emergency or urgent announcement regarding the event.*

YesNo
SMS Phone #:
Please enter a valid phone number.Format: (000) 000-0000.

Additional Information
Anything else you would like us to know regarding your registration?
How did you hear about Bethlehem Family Camp? (optional)

I have attended camp beforeFrom a retreat, conference, or other event at Bethlehem CampMy churchFamily member or friendSocial MediaSomewhere else
Church Name (optional)
Pastor (optional)

Payment Information

Please select length of stay and enter your payment information.
Camper Type
Activity Consent
Photo Consent
Length of Stay
IF REGISTERING WITH A GROUP, ENTER GROUP CODE YOU RECEIVED VIA EMAIL IN THE 'DISCOUNT CODE' FIELD BELOW.

SELECT/CHECKOUT:*

FULL WEEK (Youth/College)

Select if staying the entire encampment

$325.00

WEEKEND ONLY (Youth/College)

Select if staying weekend only

$175.00

Enter coupon

Total

$0.00

Credit Card

Apple Pay

ACH Bank Transfer

Camper Information