Youth Camp Registration 2024

Registration required by June 10 for Youth Camp at Logan Valley.  The dates are July 16-20, 2024.

$50 deposit per camper required with registration; final balance due by July 1.  Online payment is optional; checks should be payable to Genesis Church with “Youth Camp” on the memo line.

Registration is a 2-part process:  Complete the following information to identify campers and BEFORE CLICKING SUBMIT, scroll down to “right-click the Logan form > open link in new tab” to complete a detailed Logan Valley form to collect medical details, food allergies, etc.  Don’t forget to go back and submit your Genesis information.

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 - $50.00
• Deposit for 2 Campers - $100.00
• Deposit for 3 Campers - $150.00
• Total Cost for 1 Camper - $250.00
• Total Cost for 2 Campers - $500.00
• Total Cost for 3 Campers - $750.00

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

Submit

LINK TO LOGAN VALLEY FORM:

Logan Valley Registration

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