Clone of Teen Leadership Camp 2025

Please fill out the info below to REGISTER your child for Teen Leadership Camp. Complete a separate registration for each child that will attend.

Teen Camp is July 13-16, 2026

Kids VBS is July 20 - 24, 2026

*Please note: Teen Leadership Camp is a training camp for teens who plan to be leaders at Vacation Bible School the following week

Teens must be able to attend BOTH weeks.

Participant's Name:

First NameLast Name

Birth Date

Grade Level (entering for the 26-27 school year)

6th - 12th grade ONLY

Medical concerns, food allergies or physical limitations (please clearly list any food allergies, medical concerns and medications your child is on)

Parent/ Guardian 1 Name:

First NameLast Name

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/ Guardian 2 Name: (Optional)

First NameLast Name

E-mail

example@example.com

Phone Number

Format: (000) 000-0000.

Emergency Contact

First NameLast Name

Emergency contact relationship to child:

Emergency Phone

Format: (000) 000-0000.

Liability Release Form

MEDICAL RELEASE

I acknowledge & agree to the permission to treat form and the liability release form.