Shady Springs IGNITE 2026 Registration

IGNITE 2026

Registration Fee: The registration fee is $25 per camper and includes all meals, activities, and overnight accommodations. Age Requirement: Campers must be 8–18 years of age to attend Ignite Youth Weekend.
Attendee Name

First NameLast Name
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Church
Pastor's Name

First NameLast Name

REGISTRATION

Registration Fee

Required fee per attendee (covers lodging, meals and activities)

$25.00 Quantity

Registration Fee - Pay at the Door Option

Please make checks payable to Shady Springs to cover the $25 registration fee per person, along with any additional donations you’d like to contribute. Kindly bring your check and submit it at check-in.

Free Quantity

Donation

Optional additional support for the event is welcome. Online donations can be made in $10 increments—for example, to donate $100, simply select a quantity of 10.

$10.00 Quantity

Total

Credit Card

In case of emergency, please contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any medications you are allergic to
Please list any medications you are currently taking
Please list other allergies
List any recent injuries and/or surgeries
Insurance Provider
Group Number
Effective Date
Medical Authorization & Overnight Permission

I hereby grant permission to the directors and authorized representatives of Shady Springs Ignite to obtain emergency medical treatment for my child if I cannot be reached and such treatment is deemed necessary by a licensed medical professional. I understand that every reasonable effort will be made to contact me before medical treatment is administered.

I acknowledge that my child will be attending and staying overnight on the Shady Springs Campgrounds from Friday, September 11, 2026, through Saturday, September 12, 2026, as part of the Ignite Youth Weekend.

I understand that I am responsible for any medical expenses incurred on behalf of my child that are not covered by insurance.

Additional Questions for Counselor of Camp Worker (Adult)

Terms & Conditions
Ignite Staff Covenant

Child Safety
I certify that I have never been convicted of, pleaded guilty or no contest to, or been found responsible for any offense involving child abuse, child neglect, or any crime that would disqualify me from serving with minors.

Christian Conduct
I understand that serving on the Ignite Staff is a ministry opportunity. I agree to conduct myself in a manner that reflects Christian character and upholds the biblical beliefs, values, and standards of Shady Springs Fellowship while serving at Ignite Youth Weekend.

Ministry Responsibility
I recognize that serving on the Ignite Staff is both a privilege and a ministry. I am committed to helping provide a safe, Christ-centered environment that promotes the spiritual, emotional, and physical well-being of every camper.

Standards of Service
I understand that my opportunity to serve on the Ignite Staff is contingent upon maintaining conduct that reflects the mission and values of Shady Springs Fellowship. I acknowledge that this privilege may be revoked at any time if my behavior or actions are determined to jeopardize the safety, well-being, or spiritual welfare of any camper or the integrity of the ministry.
Please provide the names and ages of all children under the age of 8 who will be accompanying you and staying on the campground.
Should be Empty:

IGNITE 2026

REGISTRATION

Credit Card

Additional Questions for Counselor of Camp Worker (Adult)