MYM SUMMER CAMP 2024 REGISTRATION FORM

Name

Student Email

This address will receive a confirmation email

Student Cell Phone

Address

Grade (JUST COMPLETED)

6 7 8 9 10 11 12 Adult Volunteer

Gender

Female Male

Have you been baptized?

Yes No

Shirt Size

Small Medium Large XL XXL

If you are visiting our MYM event with a friend, please list their name here:

TRANSPORTATION

Group bus travel will be available for camp leaving from Mayfair on Monday, June 3rd @ 2:00pm. Parents may also drive students to camp.

Please check one option below to let us know travel plans for your student to/from the event at Camp ToKnowHim.

Transportation to/from camp facility at Camp ToKnowHim:

Ride Mayfair Bus - leaving at 2pm from Mayfair parking lot Parent Drop-off/Pick-Up at Camp ToKnowHim Parents Permission to ride with another family/person to/from Camp ToKnowHim

I will be attending camp for:

Entire Week Partial Week

Use this area to tell us about any attendance conflicts or alternate travel plans including person your student will be riding with (if not your parents):

ALL MEALS DURING OUR CAMP WILL BE COOKED AND SERVED BY MYM STAFF & VOLUNTEERS

Please list any dietary restrictions, allergies or special needs here. Please contact Nancy if your student requires an alternate menu.

EMERGENCY CONTACT

Emergency Contact Name

Emergency Contact Cell Phone

BEHAVIOR POLICY/PARENTAL CONSENT/MEDICAL RELEASE

By registering for this event, I agree to abide by the expectations set up by the MYM Leadership Team and will strive with a Chirstlike attitude to do everything within my power to make this camp a great experience for all those who attend. I understand that by signing up to attend, I agree to abide by the safety measures put in place for this camp.

I agree with the above:

Yes No

After you register for camp, an email will be sent to your parents with the Parental Consent and Medical Release information required for your attendance if you do not have a completed form on file. Please let your parents know to be expecting this form that they must sign and return to MYM.

Parent's Email Address for Parental Consent/Medical Release Form:

COST OF CAMP IS $200 AND INCLUDES EVERYTHING YOU NEED FOR THE WEEK - LODGING, FOOD, DRINKS, SNACKS, CRAFTS AND T-SHIRT! YOU MAY PAY BY PAYPAL (LINK BELOW) OR BY CASH/CHECK PAYABLE TO MAYFAIR.

Payment - $200

Amount

Description

Please fill out this form, choose your payment and click submit (ONCE ONLY). You will get a confirmation email of your submission.

MYM SUMMER CAMP
JUNE 3-7, 2024
Completed 6th-12th grades

Retreat Location:
Camp ToKnowHim
Large Camp Facility
11115 County Road 88
Pisgah, AL 35765

TEENS RIDING THE BUS -
Parent Drop-Off at Mayfair - Monday, June 3rd at 2pm
Parent Pickup at Mayfair - Friday, June 7th at 11:30am

PARENTS DRIVING TEENS TO CAMP -
Parent Drop-Off at Camp ToKnowHim - Monday, June 3rd after 3:00pm
Parent Pickup at Camp ToKnowHim - Friday, June 7th at 10:00am

Questions/Problems? Contact Nancy at (256)682-8208 or nancy@mayfair.org.

MYM SUMMER CAMP 2024 REGISTRATION FORM

Description

Please Fix the Following