WTX MOP CAMP 2026

WTX MOP CAMP 2026

July 24-26, 2026 at Fort Lone Tree Retreat Camp - Capitan, NM (Campers must be 14 years old or older to attend camp)
Camper Information
Camper Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Age (time of camp)
Date of Birth

MonthDayYear
Date
Which Church do you Attend?
Are you baptized?
Shirt Size (only adult sizes available) - Included in camp price if camper registers by July 3rd, 2026
Please List any allergies and/or medical conditions the camp staff should be made aware of (if you take any medication, it is your responsibility to take your medication to camp). Type "N/A" if none:

Emergency Contact Information

Camp staff will reach out to this person in the situation of an emergency
Emergency Contact Name

First NameLast Name
Relationship between Camper and Emergency Contact
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Information for Campers under 18 years old
THIS SECTION IS FOR CAMPERS UNDER 18 YEARS OF AGE
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
By checking the bubble, I, the parent/guardian of said camper, grant my permission to the camp staff to administer the necessary medical treatment deemed necessary for the campers well-being. I also agree to assume all responsibility for expenses not covered. NOTE: Parent/guardian will be held responsible for the cost of any and all damages created by the camper. The parent/guardian will be responsible to provide transportation back home early if the camper is dismissed for misbehavior.

Waivers & Release Forms
PHOTO/VIDEO RELEASE STATEMENT: The West Texas MOP creative team will be taking pictures and videos throughout our time at camp. Do you understand that any pictures and/or videos taken may be used on West Texas MOP social media platforms:
Camper Signature - By signing below, I indicate that I have read and understood the Apostolic Assembly "Release, Waiver, and Indemnity Agreement"
Date of Signature - Camper

MonthDayYear
Date
IF CAMPER IS UNDER THE AGE OF 18: Parent/Guardian Signature - By signing below, I indicate that I have read and understood the Apostolic Assembly "Release, Waiver, and Indemnity Agreement"
Date of Signature - Parent/Guardian

MonthDayYear
Date

Camp Payment

Camp Deposit: $50 (must be payed to secure spot) Regular Registration: $230 (if Registration is completed & Camp Deposit is payed by July 3rd) At the Door: $245
PAYMENT OPTIONS:
Should be Empty:

Camper Information