July 10–13, 5:15–7:45 p.m.

Register now!

Please fill out and submit one form per child. If you have more than one child, you may leave the address, e-mail, and phone number blank after you submit the first form.

Child's Name *
Child's Name
Date of Birth *
Date of Birth
Transportation
Adult's Name *
Adult's Name
Phone
Phone
T-Shirt Size
Payment
Registration is $5 per child, a maximum of $15 per family. To pay online, please submit this form and then click "giving" under "get involved."
Medical Release
By checking the box below, I give permission for my child to receive emergency medical treatment as needed. I understand the staff will try to contact me as soon as possible in the event of an emergency.
Media Use
Living Spirit United Methodist Church has a Photo Use Policy that states, in part, "We will not identify children and youth under the age of 16 by name in the photos we post online or use otherwise," and, "We will gladly remove from our website any photo that includes you or your child upon request." If you object to the use of photos of your child and would like to opt out, or if you would like to read the policy in full, you may request a copy from the Urban Camp Director.