YouthFest Student Registration

YFC Canada

YFC is a national organization built on local chapters.

Registered Charity #106868847RR0001

Registered Charity #106806573RR0001

Student's Information
Student's Name*
First Last
Date of Birth*
Biological Gender*
Address*
Mailing Address City Province Postal Code
Student's Phone
Student's Email
Parent and Guardian Information
Parent/Guardian Name*
First Last
Relationship to Student*
Phone*
Email*
Emergency Contact #1 Name (Different from above)*
First Last
Emergency Contact #1 Phone Number*
Emergency Contact #2 Name
First Last
Emergency Contact #2 Phone
Student Medical Info
Registration Number (6 digits)*
Personal Health ID No. (9 digits)*
List any allergies or dietary needs the camper has:
Is the camper on medication at this present time: If yes, please describe:
Any other needs (health problems, handicaps or illnesses) that leaders need to be aware about:
Camper Agreement
Recreational use of tobacco, alcohol, marijuana, or other mood-altering substances is not permitted during YOUTHFEST. Vaping is not permitted. Please make note of any prescription medications on the registration form. No weapons of any kind are allowed on camp premises. Due to safety concerns, swimming in the lake is strictly prohibited during YOUTHFEST. Campers are asked to respect the Manhattan Beach Retreat Centre Guest rules (available at registration). Campers are expected to stay within the YOUTHFEST event boundaries during the event, and to not be in the opposite gender’s dorms at any time. Campers are asked to display appropriate behaviour towards themselves and towards others, and to respect the directors, leaders and facilities during the event.
Camper Agreement*
I will obey the rules of YouthFest, and show respect to the staff and property of the camp. I realize that if I do not, I may be required to go home before camp is over.*
Camp Fees
Payments options: Cash | Cheques (Made out to Youth for Christ) | Credit Card (Through Website) || All payments must be in on September 25th | Cash and Cheques can be done in person on September 25th
How will you be paying?*
Register Online $140 || Register in Person $150
Registration Fee ($140)
Price:
Registration Fee ($140)
Price:
Total
$ 0.00 CAD
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Parent Contract
As parent or legal guardian, I hereby authorize YouthFest and its staff (volunteers) to obtain emergency medical care for my child, if required. I acknowledge that my child is attending this camp at his/her own risk, and hereby release YouthFest, it’s staff, volunteers or representatives from any claims, damages, expenses or actions of any kind resulting from my child’s participation in this program. I understand that YouthFest reserves the right to terminate my child’s stay if his/her behaviour is deemed to be potentially harmful to him/herself, or other campers or staff.
Consent*
I agree to the Parent Contract.
Photo Permission*
I (parent/guardian) authorize the use of any pictures or video for promotional material of YouthFest as well as associated churches and Westman Youth for Christ and waive compensation for such materials
Parent or Guardian Signature*
Your Name
Your Name
Your Name
By sending their child to YouthFest, the parent or legal guardian agrees to abide by the rules and regulations of the Camp and the authority of the director(s).
Date Signed*

YouthFest Student Registration

Student's Information

Parent and Guardian Information

Student Medical Info

Camper Agreement

Camp Fees

Parent Contract