2025 Youth Camp July 7-11

Registration required by May 21 for Youth Camp at Logan Valley.  The dates are July 7-11, 2025.

$75 deposit per camper required with registration; final balance of $200/camper due by June 21.  Online payment is optional; checks should be payable to Genesis Church with “Youth Camp” on the memo line.

Registration is a 2-part process:

1. RIGHT CLICK on the LOGAN VALLEY FORM > open link in new tab to complete a detailed Logan Valley form to collect medical details, food allergies, etc.

***LINK TO LOGAN VALLEY FORM: Logan Valley Form

2. Complete the Genesis form to register and submit payment.

Name of Parent/Guardian *

First

Last

Email of Parent/Guardian *

Phone of Parent/Guardian *

Camper Name #1 *

Camper Name #2

Camper Name #3

By checking this box, I attest that the information provided is accurate to the best of my knowledge. do hereby release, forever discharge and agree to hold harmless Genesis Church and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the youth-participant that occur while said youth is participating in any trip or activity. *

• Electronic Signature Equivalent

Periodically, pictures of these events will be taken and used for scrapbooks or other publications. You must give written notice to Genesis Church if you do not want your child’s picture included.

Payment Options

• Deposit for 1 Camper - $75.00
• Deposit for 2 Campers - $150.00
• Deposit for 3 Campers - $225.00
• Total Cost for 1 Camper - $275.00
• Total Cost for 2 Campers - $550.00
• Total Cost for 3 Campers - $825.00

Stripe Credit Card (Deposit required; additional online payment optional; checks should be payable to Genesis Church with "Youth Camp" on memo line. *

Submit

Contact Travis Dierker, 636-636-210-8166, with questions.