Youth Day Camp Registration 2026
July 20th - 24th | Please fill out one form per youth for the Youth Day Camp at City Bible Church, and click submit.
Please complete one(1) form per youth.
If you're between 7th Grade - 12th Grade, we would like to invite you to our exciting Day Camps happenning from the 20th - 24th July (9am - 3pm daily).
Cost: $150
Youth's Information
Youth's Name
*
Parent/Guardian Name
*
Address
*
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Mailing Address (if different)
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Best Contact Phone Number
*
Additional Phone Numbers
*
Email
*
This address will receive a confirmation email
Age Information
Youth's Birth Date
*
Last Grade Completed In School
*
Medical Information
Medical or other information we need to know. (Please include any food allergies.)
*
Emergency Contact
Name
*
Phone
*
Name
*
Phone
*
Dismissal Information:
Who may pick up your youth at the end of each day camp?
*
Family Information
How many youth are you registering in total? (Please remember to complete one (1) form per child)
*
Please select one option.
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Select Option
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Submit
Description
July 20th - 24th
Please fill out one form per youth for the Youth Day Camp at City Bible Church, and click submit.
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