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2026 Youth/Young Adults Camp Getaway
Personal Info
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Gender
*
Church Branch
*
Age Range
*
Marital Status
*
What best describes what you do? (Select all that apply)
*
What best describes what you do? (Select all that apply)
Emergency Contact
Name
*
Phone Number
*
Relationship
*
Please indicate how your camp expense of $216.96 will be covered:
*
Please indicate how your camp expense of $216.96 will be covered:
A
I will pay the full fee
B
I have confirmed my branch will cover the full fee
C
I have confirmed my branch will cover part of the fee
D
I require assistance with covering part of the fee
E
I will pay the full fee & I can support at least one other person
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