Clone of Early registration Form 2025
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  • Camp 2026 Registration

    Please book for your spot(s) by filling the form below. Registration fees are NONREFUNDABLE.
  • Are you registering an adult or a minor?*
  • Information of adult providing consent👇🏼

    (If you are a youth person over 18 attending camp, simply input your information. Make sure to ALSO input your information in the attendee list!)
  • Format: (000) 000-0000.
  • Attendee Information (ONE ATTENDEE PER FORM)

    This is the person who will be attending camp (QUESTIONS WITH [WI] ARE MANDATED BY THE STATE OF WISCONSIN)
  • Format: (000) 000-0000.
  • Date
     - -
  • Birthday [WI]*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Purchasing T-Shirt?*
  • Activities you are interested in doing*
  • Payment

  • How will you be paying?*
  • My Products*

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      Payment

      Full payment or just deposit 

      $50.00$50.00
      Full payment or deposit Quantity Price
      Deposit $50.00$50.00
      Full Payment $215.00$215.00
      Shirt $25.00$25.00
        
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      $0.00$0.00
      Tax
      $0.00$0.00
      Shipping
      $0.00$0.00
      Total
      $0.00$0.00

      Credit Card

    • QR CODE AND LINK TO PAY THROUGH ZELLE BELOW

    • Zelle email: Districtelginyouth@gmail.com

      https://enroll.zellepay.com/qr-codes?data=eyJuYW1lIjoiTU9JU0VTIiwiYWN0aW9uIjoicGF5bWVudCIsInRva2VuIjoiZGlzdHJpY3RlbGdpbnlvdXRoQGdtYWlsLmNvbSJ9
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    • APPLE CASH PHONE NUMBER: 816-491-7253

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    • Cabin Selection

      This does NOT guarantee your cabin. We will do everything we can to accommodate your choices, but the final decision lies with the camp organizers. Upon arrival, you will receive a wristband with your cabin number. This will serve as your validator to your spot in the cabin. Each Cabin has 13 beds. There will be NO cabin switching at the time of arrival, unless extreme circumstances require it. Please make sure to select the correct cabin.
    • WAIVER AND RELEASE OF LIABILITY

    • WAIVER AND RELEASE OF LIABILITY

      I acknowledge that travel to and activities at the YOUTH RETREAT may be dangerous and I voluntarily assume all responsibility and risk of any accident, illness or other mishap, including but not limited to serious bodily injury, permanent disability and/or death, that may occur or occur during or as a result of my or my CHILD's participation in the trip and YOUTH RETREAT. In connection with this participation, I voluntarily waive my rights and my CHILD'S rights to any claim, any cause of action and/or the right to file a lawsuit against the “Iglesia Apostolica de la Fe en Cristo Jesus” any of its affiliates, churches, organizations, officers, sponsors, employees, agents, volunteers, successors and assigns, and shareholders (collectively "Church"). I further release the Church from all liability for any loss or damage to myself, my CHILD, property, including, but not limited to, personal injury and/or death through the YOUTH RETREAT.

      This waiver and release of liability is binding on my personal representatives, trustees, heirs, successors, beneficiaries, family members, next of kin or assignee and shall inure to the benefit of the Church and its directors, officers, sponsors, employees, agents, volunteers, successors and assigns.

      If any provision of this document is held invalid or unenforceable, this form shall be construed as if the invalid or unenforceable provision were not contained in the document.

      I agree that this document and any dispute that may arise out of or involve, shall be governed by and construed in accordance with the laws of the State of Wisconsin.

      I HAVE CAREFULLY READ THIS WAIVER AND RELEASE OF LIABILITY. WITH MY SIGNATURE, I DECLARE THAT I UNDERSTAND, ACCEPT ALL OF ITS PROVISIONS, AND UNDERSTAND THAT I AM WAIVING MY SUBSTANTIAL LEGAL RIGHTS AND THOSE OF MY CHILD.
      I AM NOT UNDER ANY LEGAL INCAPACITY THAT WOULD ALLOW ME TO BE LEGALLY LIMITED FROM SIGNING THIS WAIVER AND RELEASE OF LIABILITY.

      Emergency Medical Treatment Consent


      In the event of an emergency, with the signiture below, I also authorize the camp director and staff to seek emergency medical treatment for the participant, as deemed necessary by qualified medical personnel. This may include but is not limited to, transportation to the nearest hospital or medical facility and any necessary medical procedures.

      I also give permission for camp staff to administer medications as needed.

      I further understand that this waiver and consent remain in effect throughout the duration of the camp, and I am responsible for notifying the camp organizers of any changes in my child’s medical status.

    • Camp Rules and Regulations 2026

      I agree to the following:

      1.  I will follow the regulations of the Elgin District Youth Camp, camp center, church, and staff.

      2.  I will not leave my room after lights out. I understand that a night curfew "lights out" will be enforced.

      3.  I will not leave the large or small groups at any point during the camp without direct permission from a camp leader.

      4.  I understand that every person is required to conform to the camp schedule and will not be permitted to leave camp without permission.

      5.  I will not go into the rooms/cabins of any member of the opposite sex.

      6.  I will be respectful of the camp leaders.

      7.  I will remember modesty at all times and will dress appropriately for the camp activities. The following are specifically not permitted:

      Tank tops, crop tops, or low-neckline shirts
      Clothing with inappropriate words or images


      8.  Anything that is illegal for me to do under normal circumstances (this includes drinking, drugs, vandalism, and all other illegal activities) is also illegal during this camp and so will not be done.

      9.  I understand that the use of tobacco, alcoholic beverages, or drugs of any kind is strictly prohibited

      10.  I understand and agree that damages to property and the property of others is the responsibility of the youth doing the damage.

      11. Dormitory and cabins are under the supervision of the chaperones.

      12. I understand that the Elgin District leaders and staff reserve the right to dismiss from camp anyone who does not obey these regulations or direct instructions from chaperones. (If a camper is dismissed from camp, there will be no refund.)

      I understand that I will not be allowed on this retreat unless I sign that I understand and agree to these rules and regulations.

      For minors: I also understand that the breaking of these rules will result in my parents being called and being required to pick me up from the camp early, and that if I leave the camp early for any reason whatsoever, that I will not be financially reimbursed.

      Parents: I understand that if my son or daughter breaks these rules while on the retreat I will be called and will have to come to pick up him or her from camp.

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