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    Young Men Encampment 2022 Registration

    Each youth attending will need to have a registration form completed.
    Please complete the information below and click "Sign and Submit"












    Participant Information









    Note, all youth MUST be 12 or older by Dec. 31, 2022









    This should be the participants parent or guardian.







    Medical Information



























    Physical Conditions that Limit Activity





















    Other Accommodations or Special Needs



    Permission and Acknowledgments

    I give permission for my child or youth to participate in the event and activities listed above (unless noted) and authorize the adult leaders supervising this event to administer emergency treatment to the above named participant for any accident or illness and to act in my stead in approving necessary medical care. This authorization shall cover this event and travel to and from this event.






    The participant is responsible for his or her own conduct and is aware of and agrees to abide by Church standards, camp or event safety rules, and other pertinent instructions. Participants’ conduct and interactions should abide by Church standards and exemplify Christlike behavior.





    Parents and participants should understand that participation in an activity is not a right but a privilege that can be revoked if they behave inappropriately or if they pose a risk to themselves or others.




    E-signature

    By clicking the "Agree & Submit" button, you are signing this registration form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this document.