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Personal Information
Please fill out all the required information
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Please enter your legal name -- the one on your passport or ID
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If most people call you something different than the name on your passport, write it here!
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Please enter your family name.
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Gender *
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Please enter your date of birth.
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Please enter information for the passport/ID that you entered or reside in China on.
The venue needs this information for insurance purposes.
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Please enter information for the passport/ID that you entered or reside in China on.
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Please enter your mobile phone number. If you don't have a mobile phone, please enter your home phone number.
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We will send registration confirmation and other retreat information to this address.
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Please select your school grade/year.
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Please select the school you attend.
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If you selected "Other" in the box above, please enter the school you attend here.
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Youth camp will be conducted in English. If you need help with translation to your language, please indicate here.
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Medical Information
Please note that all information will be kept confidential on a need-to-know basis.
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I have food allergies or special food needs. *
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Please specify your allergy or special food requirement here.
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Do you have any medical allergies? (e.g. penecillin or other drugs, insect stings, nuts, etc) *
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Do you have any medical or health issues which would affect your participation in camp or that counselors should be aware of? Are there any activities (such as strenuous activities) that should be restricted? *
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Are you currently taking any medications? *
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Parent Information
Please enter the contact information for your parent or guardian.
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Please enter at least 7 digits.
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I'm coming as a: *
Note: Counselors will lead a group of students. Support staff is for people who are involved in planning and executing youth camp.
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I am a Christian. *
Everyone is welcome at camp, whatever your convictions may be! We hope it's a great time growing into the person you're meant to be.
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Youth Camp Information
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Days attending
If you are not attending the entire camp, let us know so we can make arrangements.
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I'm arriving on
On which day do you plan to arrive?
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I'm leaving on
On which day do you plan to leave?
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Bus Transportation *
Buses will depart around 6pm (depending on location) on October 1st. They will return around 4:30pm on October 4th.
More information will be shared via a graphic on wechat about 1 week before camp.
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I want to come, but money might be a problem.
Please do not allow a lack of funds to prevent you from coming to the retreat. If you will have difficulty paying the fee please check this box and we can help!
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Scholarship Amount Requested *
Please don't be afraid to request what you need! We have many generous parents who are happy to help kids come to camp.
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Indicate your requested roommates here. We can't make promises, but we'll make sure you are with your friends as much as we can!
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Email Confirmation
By submitting this form you agree to be added to an email list for the purpose of providing you with information regarding this camp. Your email, and any other personal information entered here, will not be shared with any party not associated with this event.
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