WINTER CAMP 2026

HOW TO REGISTER

Please fill out every required detail. Fill out one registration form once for each conference attendee. Registration deadline is January 11, 2026. All payments must be paid in full in order to complete your registration. Early Bird registration fee will be $300 by Jan 11, 2025. The regular registration price will be $350 after Jan 12, 2025. Any registrants who do not pay the registration fee will not be able the attend the camp. Thank you for your cooperation and we look forward to seeing you all soon! If you have any questions, please contact us at (714) 757-0162. God Bless!
Camper's First & Last Name *

First Name : Tên Last Name: Họ
Church Name: Tên Hội Thánh bạn đang sinh hoạt *
If you chose "Other," please state YOUR church name or type "No church." If not, please type N/A. || Xin viết tên của HT bạn đang sinh hoạt nếu HT của bạn không có trong danh sách của chúng tôi, nếu HT đã có trong danh sách thì viết N/A*
Church City and State (Ex: Garden Grove, CA): Thành Phố và tiểu bang của Hội Thánh bạn *
Age: Tuổi *
Date of Birth*

MonthDayYear
Date
Male : NamFemale: Nữ
Name of Senior Pastor of your church? (If you have don't have a pastor or church, name of the church's pastor who invited you) Tên Mục Sư Quản Nhiệm ở Hội Thánh bạn đang sinh hoạt *
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
YesNo
Phone Number : số điện thoại *
Please enter a valid phone number.Format: (000) 000-0000.
Home Address: địa chỉ nhà *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
This camp is for students, parents, serving members in the church, and ministry leader. We will have children ministry for children from ages 4 - 10 at this camp. Children under the age of 4 will need to be supervised by their parents at all times. We do not offer registration for one day or for individual sessions. Sorry for the inconvenience! Trại sẽ có chương trình cho trẻ em từ 4 -10 tuổi. Các phụ huynh cần chăm sóc con của mình dưới 4 tuổi trong những giờ sinh hoạt*

Okay!I have children that have special needs
YesNo
MarriedSingle
EnglishVietnamese
Please list the names the family members you prefer to room with. (We can't guarantee but we'll try our best. Each cabin has 8-12 beds so you may have to share with other families that have same request) // Xin cho chúng tôi biết tên những người sẽ ngủ chung trong phòng của quý vị. Mỗi phòng sẽ có 8-12 giường và quý vị có thể phải chia sẻ phòng với những gia đình khác có nhu cầu như quý vị. Chúng tôi sẽ cố gắng sếp đặt chỗ ngủ cho quý vị nhưng không bảo đảm hoàn toàn. *
Which role best describes you? Xin cho biết thêm về bạn *
Which category best describes you? hãy chọn thể loại thích hợp nhất cho bạn *
SmallMediumLargeX-LargeXX-Large
Parent/Guardian Information for under age 18 (If over age 18, please type N/A): Tên Phụ Huynh*

First NameLast Name
Parent/Guardian Phone #: điện thoại của phụ huynh *
Please enter a valid phone number.Format: (000) 000-0000.
PARENTAL MEDICAL AND ACTIVITY RELEASE

I allow my child to attend Winter Camp 2025 at Whispering Wind Camp in Julien, CA and take part in all of the activitie. I acknowledge that these activities involve risk of serious injury or death. I acknowledge the need for responsible behavior and obedience on his/her part.

My child will cooperate with the staff, and program of the Camp. I understand that I will be held responsible for any damage done by my child, and I will pay for any and all repairs. Any controversy or claim arising out of or related to the student's participation in this camp shall be settled by binding arbitration pursuant to the applicable rules of the American Arbitration Association. I also certify that my child's immunizations are up-to-date.

In the unlikely event of an accident or an illness during camp which needs immediate treatment, I agree to my son/daughter receiving first aid and medical treatment from qualified practitioners, including lifesaving treatments, as may be considered necessary by a licensed medical provider.

I also authorize the transportation of my child, by ambulance if necessary, to the nearest available medical facility.

I understand the extent and limitations of the insurance coverage as provided by the organization sponsoring the event and that my medical insurance is primary, unless otherwise specified.

I will inform the leaders of the event as soon as possible, if there is a change in medical circumstances regarding my child between the date signed below and the start of the event.

Furthermore, I here by give Impact Connection permission to photograph or video record my child and to publish and/or display the same without incurring any debts or liabilities to me of any kind.
Emergency Contact:*

First NameLast Name
Parent/Guardian Activity Release Signature (Phụ Huynh): Chử ký phụ huynh *
Emergency Information
Emergency Contact Phone #:*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to camper *
Got It!
Attendee (or Parent/ Guardian if under 18) Signature:*
Photograph & Video Consent and Release
At this camp, there will be filiming and photos being taken. This is to inform you of the high possibilty of being included in these videos and photos. In such case, by signing below, you are giving Impact Connection consent to record and photograph you. You are also giving consent to Impact Connection to release videos or photos that may include you.

Without expectation of compensation or other remuneration, now or in the future. I hereby give my consent to Impact Connection to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet).This consent includes, but is not limited to:- (a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice;- (b) Permission to use my name; and- (c) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s) or reproduction(s) of me, and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio and electronic media (including the Internet), in theatrical media and/or in mailings for educational and awareness.This consent is given in perpetuity, and does not require prior approval by me.
By signing, I am agreeing to give consent to be recorded and photographed.*
IMPACT CONNECTION RULES

ALL CAMPERS MUST ABIDE BY THESE RULES & SIGN AT THE BOTTOM

- Follow camp schedule. You are required to be at the designated areas at the correct times.
- All meals, meetings, and activities are mandatory.
- Do not go anywhere at camp without telling your cabin leader.
- Respect others and their belongings. Do not take other things without permission. No stealing.
- Foul language, teasing, bullying, or hazing is NOT permitted at camp.
- No raiding of any kind. (ex. damaging, rearranging or playing with other’s belongings).
- No cigarettes, vapor cigarettes, lighters, weapons, alcohol, drugs, fireworks, and gum.
- Boys & girls are not allowed in each others cabins. No guys in or around the girl’s dorms – no girls in or around the guy’s dorms.
- Do not deface camp property. It is your camp, too. Help keep it looking nice. Intentional damage, or damage due to unncessary carelessness will result in camper being charged for damages. If you break anything while at camp, you buy it! All damage to the camp property must be paid for prior to leaving camp.
- A fine of $500 will be imposed for graffiti.
- No PDA – “Public Display of Affection.”
- No pillow fights.
- Medications must be turned in to the medic upon arrival.
- No electronics other than cameras or personal care items.
- What are the policies regarding food in the meeting and sleeping accommodations?
- Whispering Winds Camp does not allow guests to eat plated meals in the meeting and sleeping accommodations. However, we do allow prep-packaged, individual serving - sized snacks to be consumed in the meeting accommodations all trash should be appropriately placed in the bear-proof trashcans upon consumption.

- What time are quiet hours? Quiet hours are from 11:00pm to 7:00am. Amplification must be turned off by 11:00pm. Campers should be either in their sleeping or meeting rooms, after 11:00pm.
- No cell phone usage in bathrooms or cabins. Cell phones can be used to show what God is doing at camp, but should not be a distraction. Leaders are empowered to take the cell phones -away from students if cell phone privileges are abused.

WINTER CAMP DRESS CODE

FEMALES – Do NOT wear or bring the following:

Extremely short shorts, short skirts, or short dresses, back-less tops or dresses
T-shirt or other garments with offensive or inappropriate writings, language or pictures
T-shirt or tops with plunging necklines, tops that reveal undergarments, bare-midriff clothing, short mini-dress/skirts
short shorts, split-sided jogging shorts, or spandex, extremely tight clothing

MALES – Do NOT wear or bring the following:

T-shirts or other garments with offensive or inappropriate writings, language or pictures
short shorts, split-sided jogging shorts, or spandex
Shirts must be worn at all times except in the shower, or cabin.

ANY CAMPER WHO VIOLATES THESE CAMP RULES MAY BE SUBJECT TO LEAVE PREMISES WITHOUT REFUND!

LAST BUT NOT LEAST, KEEP A GOOD ATTITUDE & HAVE FUN!

WHAT ATTENDEES SHOULD BRING TO CONFERENCE

Sleeping bag and pillow or bedding

Bible, notebook, and pen
Personal toiletry items (toothpaste, soap, shampoo, deodorant, etc.)

Re-useable waterbottle
A warm changes of clothes for COLD weather.

A coat or jacket, Tennis shoes, Socks

Towels for shower
Old tennis shoes or water shoes

Flashlight

Sunscreen

Bug repellent

Spending money

Good attitude!
All attendees MUST sign here stating that you have a read and agree to abide to the camp rules!*
PAYMENT INFORMATION
RELEASE AND WAIVER OF LIABILITY

I and/or parent(s) or guardian(s) of the person above who has read and voluntarily signs this release and waiver of liability. I acknowledge and understand there are inherent risks associated with many event activities. One such risk is exposure to infectious sickness, diseases, pandemics and the like. I will assume all of the various risk associated there with whether known or unknown to me or my child at this time. I hereby release, waive, discharge and covenant not to sue the campground owners, employers, my home church, or any affiliated entities therefore lessors and lessees of the premises. I take full responsibility for any risk of bodily injury, death or property damage arising out of or related to the event(s) whether caused by the negligence of the releasee(s) or otherwise.
$300
$300
I will be there!
Sounds Good!
Got it!
Got it!
$300 Zelle impactconnectgive@gmail.com$300 Venmo impactconnectionPaypal / Credit / Debit ($300 + $10 Processing Fee)My church will cover my cost.Paying $100 to deposit and will pay in full by Jan 30
PAYPAL/CREDIT/DEBIT*
prevnext( X )
EARLY BIRD REGISTRATION
$300 + $10 Processing Fee

$310.00

Total

$0.00

Should be Empty:

HOW TO REGISTER

Emergency Information

IMPACT CONNECTION RULES

ALL CAMPERS MUST ABIDE BY THESE RULES & SIGN AT THE BOTTOM

LAST BUT NOT LEAST, KEEP A GOOD ATTITUDE & HAVE FUN!

PAYMENT INFORMATION