Please fill out the following form in completion, then pay for registration at the link found at the bottom.

(Both must be done in order to be considered fully registered)

Student Name

First Name

Last Name

Student Date of Birth

MM

DD

YYYY

Student Grade

The grade they'll be in the 2022-23 school year starting in August 2022

Student sex

Name of Student's School

Student Phone Number

(###)

###

####

Student Email Address

Please put your child's email address here.

Student T-Shirt Size

Please note these are ADULT sizes

Parent Name

First Name

Last Name

Parent Email

Please do not use a hotmail email address.

Parent Phone Number

(###)

###

####

Parent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name and Phone Number

Student's Health Insurance Name, Member ID, Group Number

Student's Allergies, Medical Conditions, and/or Dietary Restrictions

Should a medical emergency arise, I give permission for my child to be treated

How did you hear about Made Youth Camp?

Please specify

What church do you attend, if any?

Is this your child's first time at a M.A.D.E. Camp?

By completing this form, I give permission for my child to attend Made Youth Camp and participate in the activities throughout camp. I understand that my child must remain at camp throughout its entirety and all payments are non-refundable.

Please sign your name below.

I, the parent or guardian, understand that my child is expected to follow all COVID protocols which will be implemented throughout camp for their safety and the safety of others.

Please pay for the camp registration below for your youth's registration to be complete:

(payments are non-refundable)

Pay registration in full

Optional: pay for your youth to play paintball at camp!

Pay Camp paintball

Financial aid applications for camp 2022 are now closed

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As 501(c)(3) organization, your donation may be eligible to be tax-deductible.