STEP 1: FILL OUT THE FORM BELOW AND THEN CLICK “SUBMIT”.

STEP 2: COMPLETE THE MEDICAL INFORMATION FORM.

STEP 3: ONCE THE FORM IS COMPLETED, YOU WILL BE REDIRECTED TO COLUMBIA PRESBYTERIAN CHURCH’S WEBSITE TO COMPLETE PAYMENT.

AFTER THESE STEPS ARE COMPLETED, YOU’RE REGISTERED!

Information for Camp Registration

Church Name

First Name

Last Name

Gender

Status

Are you coming to Victory Jam as a camper or a counselor?

Size

T-Shirt sizes range from Youth L to Adult 4X

Grade

Dietary Needs?

Please let us know if you need gluten free, vegetarian or dairy free meals due to an allergy.

gluten free

diary free

vegetarian

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Please contact your youth leader if you have any questions.

Abigail Schaefer | aschaef96@gmail.com