Youth Lock-In Registration

Our Annual Youth Lock-In starts December 31, 2025 at 5pm and ends January 1, 2026 at 8 am. All youth in grades 6th through 12th grade are invited to come! There's no charge to come, but we're only limited to 35 campers! To get your registration in, fill out the registration form below!

Online Registration

Free Text

Please submit one registration form per camper. Do not combine campers or sessions on one form.

Name:

Address:

City:

State:

Zip code:

Phone: (parent’s home)

Parent’s work:

Sex:

Male

Female

Age:

Grade in 2025-26

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DISCIPLINE

DISCIPLINE

Discipline is necessary and each camper is expected to help in maintaining discipline through cooperation with all staff personnel. Without good discipline the camp cannot discharge its primary function of guiding the Christian development of each camper. Any one who behaves in a way that is not conducive to the good of the camp will be asked to go home! Christ is the Lord and Savior, and we want to glorify Him and edify each other. Please read all the rules stated in the Camp Brochure. (Or click here). Everyone is expected to obey them. We believe these rules will help our camp reflect the image of Christ.

“I have read the rules and agree to abide by them.” Signed:

Space

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IN CASE OF EMERGENCY, WHO SHOULD WE CONTACT?

1st Emergency Contact Name:

Phone:

Contact 1 Address:

2nd Emergency Contact Name:

Phone:

Contact 2 Address:

Signed:

Date:

Youth Lock-In Registration

Online Registration

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