Man Camp Registration 2025

MAN CAMP REGISTRATION

Begin your registration process for our upcoming Man Camp Retreat here. Once submitted you will receive an email indicating your registration is complete.
Email*
example@example.com
Name*

First NameLast Name
Start Date of Event*

MonthDayYear
Date
End Date of Event*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
T-Shirt Size*
Name of Group*
What is the name of church, organization, or school group with whom you are coming?
Housing
List your roommate or church group preference
Any Food Allergies?*

YesNo
Food Allergies*
Please list any food allergies you/your camper have.
Which Signature Event Waiver Form do you need?*

Adult (aged 21 or older)Minor (aged 20 or younger)

SIGNATURE EVENT WAIVER

ADULT
Camp activities include strenuous outdoor activities and out of camp travel in camp vehicles. As with most activities in life, there is an inherent risk in participating in these activities. By signing below you are indicating that you understand the risk involved in camp activities and you are willing to participate in all activities. All activities are well-supervised, with an emphasis on safety.

Permission

Camp activities include strenuous outdoor activities and out of camp travel in camp vehicles. As with most activities there is an inherent risk in participating in these activities. IT IS MANDATORY THAT THIS FORM IS FILLED OUT, SIGNED, DATED, AND RETURNED BY YOU. YOU WILL NOT BE PERMITTED TO STAY AS OUR GUEST UNLESS WE HAVE RECEIVED THIS FORM. A copy of this form will be emailed to you upon completion.
Legal Name*

First NameLast Name
Signature*

Clear
Date of Signature*

MonthDayYear
Date

SIGNATURE EVENT WAIVER

CAMPER
Camp activities include strenuous outdoor activities and out of camp travel in camp vehicles. As with most activities in life, there is an inherent risk in participating in these activities. By signing below you are indicating that you understand the risk involved in camp activities and you are willing to participate in all activities. All activities are well-supervised, with an emphasis on safety.
Contact Information
Camper Birthdate*

MonthDayYear
Date
Camper Age*
Parent/Guardian Name*

First NameLast Name

Camper Health Information

To be completed by Parent or Guardian
Is Camper Covered by Family Health or Medical Insurance?*

YesNo
Insurance Carrier, Plan Name or Medishare Name
Name of Insured*

First NameLast Name
Relationship to Camper*
Insurance ID Number*
Insurance Card*

Upload copy of both sides of insurance card
Cancelof
Immunizations up to date?*

YesNo
If "No" please explain
Currently Taking Medications?*

YesNo
Medications Taking
Dosage
Describe the dosage and frequency of administration
Chronic or Recurring Illness or Medical Condition
Activity Restrictions?*

YesNo
Health or Medical Concerns*
Please describe any other health or medical concerns.

Permission

Camp activities include strenuous outdoor activities and out of camp travel in camp vehicles. As with most activities there is an inherent risk in participating in these activities. IT IS MANDATORY THAT THIS FORM IS FILLED OUT, SIGNED, DATED, AND RETURNED BY YOU. GUESTS WILL NOT BE PERMITTED TO STAY UNLESS WE HAVE RECEIVED THIS FORM. A copy of this form will be emailed to you upon completion.
Parent/Legal Guardian Name 1*

First NameLast Name
Signature 1*

Clear
Parent/Legal Guardian Name 2*

First NameLast Name
Signature 2*

Clear

Debit or Credit Card Method*

Man Camp Commuter RateFor guests needing only meals and sessions

$75.00

Man Camp Overnight RateFor guests needing meals, sessions, and lodging

$130.00

Enter coupon

Total

$0.00

MAN CAMP REGISTRATION