2026 Junior Camp Registration

One form per camper. Please fill out this form and click submit.

Camper Name

*

Email

*

This address will receive a confirmation email

This number will be used for any and all communication prior to and during the week of camp.

Parent Contact Number

*

Name of Contact Person

*

Relationship to Child

*

Secondary Contact Number

Name of Contact Person

Relationship to Child

Camper Address

*

Camper Birthdate

*

Tshirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult 2X

Are your child's vaccination's up to date?

*

Please select one option.

Yes No Unknown

If your child's vaccination record isn't on file with Victory, please attach a copy here- or send it to swintermute1@gmail.com

Upload (8MB)

Please list any allergies & medications you will be sending with your child- along with instructions for each medication.

*

If your child/camper's Camp Fee is to be paid by someone else, or you need helping paying all of it, please make note of that here so our accounting team can ensure everything is labeled properly.

Description

One form per camper. Please fill out this form and click submit.

Please Fix the Following

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