GKC 2025 GKC CYF Mid-Winter Registration

January 3-5, 2025

7:00 p.m. Friday to 2:00 p.m. Sunday

Registration Cost: $190

Registration will close on December 20 at 11:59 p.m.

Thank you for registering for the 2025 GKC CYF Mid-Winter Event. We suggest you scroll down the page to see the information requested before beginning the registration process.

This camp is intended to be accessible for all youth in the region, if price is an issue please apply for a scholarship.

Every youth camper must fill out a registration.

If you have any questions, call (913-669-4782) or email [email protected] before beginning the online registration.

To complete a registration you will need the following information for each youth:

Youth "Camper" Name
Date of Birth
Current Grade
Mailing Address, City, and Zip
Email Address that is checked at least once a week.
Name & Phone Contact for Parent/Legal Guardian
Name of Your Church and City/Town
Medical Information (ie: Insurance number and policy,, Doctor Name & Number)

apply for a scholarship.

You are registering for:

2025 GKC CYF Mid-winter ($190.00)

What Congregation do you attend? (Choose from the dropdown menu):

Convenience Fee

$0.00

Would you like to make an additional donation to help more campers attend camp?

Running Total

$0.00

Total

$0.00

Youth / Camper Information

Youth First and Last Name

Youth Date of Birth

Gender

Pronouns:

Is there anyone you want to room with? (This is not guaranteed but will be taken into consideration.)

In our efforts to create an environment where everyone feels welcomed and included, there will be an option at each 8th grade through adult camps, to stay in a gender identity-sensitive cabin.

The gender identity-sensitive cabin is for:

individuals who do not identify with a specific gender
those who identify in a way other than traditional roles (female/male), and
individuals who are comfortable with and supportive of sharing a cabin with LGBTQ+ persons

If the camper needs this option, please select the gender-sensitive cabin option from the drop-down menu below.

If the camper would be comfortable with and supportive of staying in this gender-sensitive cabin as an ally, please select your preferred cabin and the "ally" box.

Cabin Choice

Ally gender sensitive

I am willing to stay in a gender-sensitive cabin, but do not need one for myself.

Current Grade

Is this the first year your youth has attended a GKC camp event?

Camper Email

Parent/Guardian Email

Youth Mailing Address

How did you hear about this camp?

Parent/Guardian with Legal Custody

Parent/Guardian First and Last Name

Parent/Guardian Address

Relationship to Youth

Insurance Information

If your Youth requires medical treatment while at Midwinter, your family's or youth's health insurance information will be used at the hospital. Please provide that information below.

Health Insurance Carrier or Plan Name

Policy or Group #

Date of Birth of Policy Holder

Youth Medical Information/ Dietary Needs

Will this camper take medication?

Please list medication, dosage, and times taken

List and describe any Food Allergies or special Dietary Needs (including severity of allergy)

Name of Youth's Primary Doctor

Primary Doctor's Phone Number

Other Important Information

Is there anything else you would like the directors to be aware of?

What have we forgotten to ask? If your explanation about your youth's health exceeded the space above, please provide additional information about the youth that you think is important or that may affect the youth’s ability to fully participate in the Mid-Winter program by emailing Kylie Graham our Camp and Conference Coordinator ([email protected]).

Consent and Release

Permission to Photograph

With your permission, the Greater KC Region's Ministerial staff and our volunteer camp staff (counselors and directors) will photograph or video tape your child for the express purpose of promoting the Region's Youth Ministry, Children's Ministry, and Summer Camp (outdoor ministry) programs through print media, digital media, or Internet platforms. Further, the staff of Tall Oaks Conference Center (the facilities the Greater KC Region rents to host our programs) has permission to photograph or video tape your child for the express purpose of promoting their facilities and ministry of hospitality through print media, digital media, or Internet platforms. Below you can choose to give your permission or not.

I/We authorize the Region to photograph or video tape my youth

CYF Mid-Winter Retreat permission/youth covenant

This youth has my permission to participate in the CYF Midwinter Retreat of the Greater Kansas City Region, Christian Church (Disciples of Christ). I will not hold the GKC Region, Tall Oaks conference center, the ministers, or the adult leaders responsible for liability in injuries, or accidents that might occur during this event and by this document do release them from any liability. I authorize any of the ministers or youth leaders to take my child to a licensed physician or hospital for any emergency, medical aid, or hospitalization required during the event. I also request that the ministers/leaders make a reasonable attempt to contact me in the event of such an accident. I understand that rules and regulations will be established governing participation as part of any sponsored group, and conduct during the event. I have instructed my child that she or he must abide by those rules. I also give consent for my child to be appropriately photographed within the context of the event to be used in website, print, and other promotion of this Regional Youth Event as well as other events in the future.

By checking this box the youth and parent(s) provide their digital signature and agree to uphold the Community Covenant.*

You cannot register for CYF Midwinter without agreeing to uphold the Community Covenant.

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Phone Number

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