I Am An *

Adult Sister

Adult Brother

I am registering for (check all that apply): *

Young Men Camp (July 7-10 for all young men)

Youth Conference (July 22-24 for all youth)

Young Women Camp (August 2-7 for all young women)

Your Name *

First Name

Last Name

Your Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Cell Phone

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact Cell Phone *

(###)

###

####

Ward/Branch *

Keene

Lowell 1st or 2nd

Merrimack or Nashua 2nd

Nashua 1st

Peterborough

T-Shirt Size (adult sizes) *

Small

Medium

Large

X-Large

XX-Large

XXX-Large

Personal Acknowledgement *

For all adult leaders and volunteers: I have read, understand, and agree to this release and permission form.

For adults serving at YW Camp: I have read and agree to abide by the COVID-19 regulations, dress code, and behavioral expectations set forth in the Nashua YW Camp Policies and Procedures.

Acknowledged and agreed