Camp 1:10 2026 Registration Form

Join us for our second Camp 1:10 — a weekend designed for adventure, connection, and unforgettable memories. Think bonfires, team games, late-night laughs, and moments to reflect, recharge, and grow. Whether you’ve been walking with Jesus for a while or just starting to explore faith, this weekend is for you. It’s a chance to unplug, build new friendships, and grow in a real and personal way. Camp 1:10 will be held on the Campus Life property- close to home and a bit cheaper too! Please register by September 14th to guarantee a T-shirt. Provided Camp 1:10 does not fill up, registrations will be accepted until October 5th (no T-shirt guarantee after September 14th).

The weekend costs $50 and includes everything such as meals, T-shirt, activities, and transportation. The payment must be made online in order to register a student. Please note that the $50 payment is non-refundable. If your student is unable to attend for any reason, the registration fee will not be refunded.

Here is a general schedule of the weekend (subject to change).

Friday
5pm: Student check in/settle in
6pm: Dinner
7pm: Session 1
8:30pm: Campfire/night games

Saturday
8:30am- Breakfast
9am- Group games
10am-Session 2
11:30am- Grab lunch
11:45am- Load on bus and leave for Falls Aquatic Center
2pm- Load on bus and leave Falls Aquatic Center
2:30pm-Free time
5:30pm- Dinner
6:30pm- Session 3
8pm- Campfire/night games

Sunday
9am- Breakfast
9:30am- Group Activity
10:30am- Cleanup
11:30am- Pickup

What to bring:
-Water bottle
-Bible, pen/pencil, notebook
-Sleeping bag or bedding & pillow
-Towel & swimsuit (goggles optional)
-Toiletries (toothbrush, toothpaste, soap, shampoo, conditioner & deodorant)
-Modest Fall Clothing (dress code will be included upon registration)
-Clothes that can get filthy
-Flashlight
-Clearly label your belongings. Please call if something is life behind and
we will work with you to return the item.
-Clearly labeled medications in original bottles (if applicable)

What NOT to bring:
-Electronics (cell phone, headphones, etc). If electronics are found in student's possession, they will be confiscated and kept in a safe place until the end of the weekend.
-Non-prescription drugs
-Weapons

Student 1 Information

Student 1 name

Student 1 grade

6th 7th 8th Freshman Sophomore Junior Senior

Student 1 school

Student 1 T-Shirt size

Extra Small Small Medium Large Extra Large 1x 2x 3x

Student 1 cell phone

Student 1 E-Mail

Please list 1 or 2 friends you would like to be with

Student 1 dietary restrictions

Will student 1 be taking prescribed medication during this weekend?

Yes No

If yes, please list medication and use

Student 2 Information (optional)

Student 2 name

Student 2 grade 6th 7th 8th Freshman Sophomore Junior Senior

Student 2 school

Student 2 T-Shirt size Extra Small Small Medium Large Extra Large 1x 2x 3x

Student 2 cell phone

Student 2 E-Mail

Please list 1 or 2 friends that you would like to be with

Student 2 dietary restrictions

Will student 2 be taking any prescribed medications during the weekend?

Yes No

If yes, please list medication and use

Student 3 Information (optional)

Student 3 name

Student 3 grade 6th 7th 8th Freshman Sophomore Junior Senior

Student 3 school

Student 3 T-Shirt size Extra Small Small Medium Large Extra Large 1x 2x 3x

Student 3 cell phone

Student 3 E-Mail

Please list 1 or 2 friends that you would like to be with

Student 3 dietary restrictions

Will student 3 be taking any prescribed medication during the weekend?

Yes No

If yes, please list medication and use

Parent Information

This section must be filled out by the student's legal guardian.

Parent name

Parent cell phone

Parent E-Mail

Parent Address

Is the emergency contact same as above?

Yes No

If no, please fill out the next 3 questions.

Emergency contact name

Emergency contact relation Mother Father Grandfather Grandmother Sibling (over 18) Family Friend Other

Emergency contact phone number

I give my student(s) permission to ride a school bus with Campus Life as well as swim at Falls Aquatic Center.

Agree Disagree

I give my student(s) permission to have ibuprofen as needed

Yes No

Injury Waiver Acknowledgement* I hereby acknowledge that I have voluntarily agreed to have my child(ren) participate in Camp 1:10. I understand that activities at Campus Life may involve risk and I, for my child(ren), willingly assume the risk or injury as my responsibility. As lawful consideration for my child(ren) being permitted to participate in Camp 1:10 by Campus Life, I release from any legal liability whatsoever Campus Life and all members, employees, agents or volunteers for any and all injury caused by or resulting from my child(ren)'s participation in Camp 1:10. I indemnify and hold harmless and also agree not to sue, claim against, attach the property or prosecute Campus Life for any injury caused by or resulting from my child(ren)'s participation in the activities at Camp 1:10. I am aware that I am releasing certain legal rights that I otherwise may have and I enter into this release on behalf of myself and/or my child(ren) of my own free will. Media Waiver Acknowledgement* As the parent or official guardian of the child(ren) I am registering for Camp 1:10, I hereby grant permission to Campus Life, its employees, or representatives to take and use photographs, videotape, and digital images of my child(ren) for use in future promotional materials for Camp 1:10. I authorize the use of these images indefinitely without compensation to me. All negatives, positives, prints, digital reproduction, and videotape shall be the property of Campus Life.

Agree

Payment

To reserve your student's spot, the $50 registration fee must be paid online when submitting this registration form. Please note that all Camp 1:10 registration fees are non-refundable. If your student is unable to attend for any reason, the registration fee will not be refunded.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Camp 1:10 2026 Registration Form

Description

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