Junior Camp Registration

June 2 - 6, 2025

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Register

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Fill out the form below to register your youth group.
Each camper must fill out a registration form and waiver to attend Camp New Beginnings, which can be downloaded from this page.

Cost: $175 per camper.
$100 for each additional camper within the same family.
$100 per chaperone.

Step 1 of 3 – Camper Info

How Many Children Are You Registering For Camp?(Required)

Camper Name(Required)

First Last

Camper Age(Required)

Camper T-Shirt Size:(Required)

2nd Camper's Name(Required)

First Last

2nd Camper's Age(Required)

2nd Camper's T-Shirt Size:(Required)

3rd Camper's Name(Required)

First Last

3rd Camper's Age(Required)

3rd Camper's T-Shirt Size:(Required)

4th Camper's Name(Required)

First Last

4th Camper's Age(Required)

4th Camper's T-Shirt Size:(Required)

Parent or Guardian Name

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Cell Phone(Required)

Alternate Contact in Case of Emergency(Required)

First Last

Emergency Contact Phone(Required)

Pastor's Name(Required)

First Last

Home Church(Required)

Home Church Address(Required)

City State / Province / Region ZIP / Postal Code

Church Phone(Required)

Is any child listed presently being treated for an injury or sickness or taking any medication?(Required)

Please Explain(Required)

Does any child listed have a physical handicap or illness that would prevent them from participating in normal rigorous activity?(Required)

Please Explain(Required)

Consent and Certification:(Required)

I agree to the following:

I, the undersigned, being the parent or legal guardian of the youth named above, do hereby consent to the participation of my youth in all the scheduled youth activities and/or sporting events of Camp New Beginnings, a ministry of Immanuel Baptist Church. I also understand that the organizers, leaders, staff, or churches will not be held liable for any injuries incurred or loss of property as a result of my child’s attendance and participation in this camp. Further, I certify that my youth is physically fit and adequately prepared to participate in all recreational and sporting events.

Medical Treatment Authorization(Required)

I agree to the following:

I understand that I will be notified in the case of a medical emergency. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event that my youth is injured or becomes ill. I authorize the director or camp nurse to make emergency medical care decisions on behalf of my youth and will be responsible for the financial liability of said care, if required by law or a health care provider. Furthermore, I will not hold Camp New Beginnings, its parent organization, or designated staff liable in case of injury or death associated with their activities.

Printed Name of Parent or Guardian(Required)

Today's Date(Required)

Signature(Required)

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Do You Need To Know What To Bring?

Our comprehensive packing guide outlines everything you child will need to bring with them while attending Camp New Beginnings.