2025 Dates:
June 29th — July 4th

*Nickname you prefer to go by: this will be the name used on all camp lists.
Ages are 12-15. 1st year campers must have turned 12 on or before the last day of camp, which is 7/4/24.
Home Phone/Work Phone/Cell Phone
Home Phone/Work Phone/Cell Phone
If you would like to include it for your counselor(s) to have a way to reach you outside of camp.
This MUST be a PARENT’S or GUARDIAN’S email address, not the camper’s email address. Communication to parents/guardians will be sent via email.
If not attending a church at this time, no problem! Just type that in.
If you don’t have a pastor, you can share the information of a person close to you that you consider a Godly mentor in your life!
Name and Telephone Number
Check each one that is allowed.
Check yes if there are prescriptions or over the counter medication your child will be needing at camp during the week.
I do hereby give my consent for any necessary medical treatment to be rendered to the above named minor while they are at Youth Fellowship Camp located Prairie Camp (63526 CR 9 Goshen IN 46526). Medical treatment that may include emergency examination, aesthetic, medical diagnosis, minor surgery or treatment, and/or care. This will be rendered under the general or special supervision and on the advice of any physician licensed to practice medicine. I understand this is to be used only if I cannot be reached. I understand this is to allow emergency treatment to be initiated without delay and the staff will continue efforts to contact me. Secondary medical insurance is covered in the cost of registration. I further recognize that certain hazards and dangers are a possibility at camp events. I understand also, that although the camp has taken precautions to provide proper supervision, and instruction for each activity, it is impossible for the camp to guarantee absolute safety. Further, I waive any claim that may arise against Youth Fellowship Camp, Griner Church, Prairie Camp. The Missionary Church, North Central District, Inc. and/or employees or volunteers, as a result of participation in the program, except for those that are a direct result of gross negligence of the camp or its employees and/or volunteers. I also give permission as a parent or guardian for my child to be photographed or videotaped for promotional purposes of Youth Fellowship Camp. I am also aware of the Youth Fellowship Camp guidelines and am willing to follow the standard of the dress code.
Type Parent/ Guardian name here to show you have read and agree with the above statement.
Type Camper Name here to show you have read and agree with the above statement.
Everyone will get a tee shirt. It is included in the registration fee!

Activity Choices

Select your first 4 choices for your activity classes. We try our best to put you into your two first choices, but some classes can fill up quickly, so it’s helpful to know what else you would enjoy.
Select your first choice for activity period.
Select your second choice for activity periods.
Select a third choice in case one of your first 2 choices is full.
Also select a fourth choice in case both of your first two options aren’t available.

Snack Shop Update

Money for snack shop is separate from the registration fee. You can pick the amount you would like to add to your camper’s account for the week. Snack shop is typically open 2 times each day. Any money that is leftover from their account at the end of the week will not be refunded. We try to keep our snack shop prices at cost or just a bit above per snack, candy, or drink. $20 is a pretty common amount.
If you need financial assistance with the registration fee please select that option form the dropdown above. We had to take down the online payment option temporarily, but once we receive your information, we will send you an address where you may send a check for payment.