Thank you for registering for camp this summer. We suggest that you scroll down the page to see the information requested before beginning the registration process.
Every camper must fill out a registration.
If you have questions, contact the Northern Lights Regional Office before beginning the online registration: [email protected]
Scholarship funds are available. To request a scholarship, please contact your church's pastor or the Northern Lights Regional Office prior to completing the form. All requests for scholarships must come from a pastor.
To complete a registration you will need the following information for each camper:
Register for camp based on the grade your camper will enter in the coming year.
Gwinwood Retreat Center – Lacey, WA
Cane Ridge West Conference & Retreat Center – Lincoln, MT
Registration deadline for all camps is 14 days prior to start date.
Entering Grades 2-3 this FallMon, July 10th at 11 am - Thurs, July 13th at 11 am
Entering Grades 4-5 this FallMon, July 10th at 11 am - Sat, July 15th at 11 am
Entering Grades 6-8 this FallMon, July 10th at 11 am - Sat, July 15th at 11 am
Entering Grades 9-this Fall & 2022 HS GradMon, July 10th at 11 am - Sat, July 15th at 11 am
Entering Grades 1-2 this Fall w/ parent/grandparent/guardianFri, July 7 (after dinner) - Sun, July 9th (before lunch)
Entering Grades 2-3 this FallMon, July 10th at 11 am - Sat, July 15th at 11 am
Entering Grades 6-8 this FallMon, July 17th at 11 am - Sat, July 22nd at 11 am
Entering Grades 9-12 this Fall & 2022 HS GradMon, July 17th at 11 am - Sat, July 22nd at 11 am
*For those needing to arrive on Sunday evening prior to camp on Monday morning, there is an option for lodging at the camp. The cost is $25 per person (the amount CRW charges/person/day) *Campers must have a parent/guardian or designated adult stay overnight with them and be responsible for them until camp begins. *No meals are provided. *Adults staying Sunday night but not staying for camp can mail payment to the regional office prior to camp: Northern Lights Region, 4227 S Meridian, #C615 Puyallup, WA 98373
Please provide the information below. If the address is the same as above for your camper, there is no need to input that information again. We do need an emergency phone number for the primary parent/guardian.
If your camper requires medical treatment while at camp, your family's or camper's health insurance information will be used at the hospital. Please provide that information below. If you select "No Insurance" please type NA in the Carrier and Policy number sections.
Please select this box if your camper has NO healthcare insurance coverage.
This section helps our volunteer staff and medical personnel know about your camper's medical needs including:
Medications
"Medication" is any substance a person takes to maintain and/or improve their health. This includes vitamins & natural remedies. All medications are collected, stored, and distributed by either a volunteer adult with a health care background or other designated adult volunteer.
Please list ALL medications (including over-the-counter or non-prescription drugs) taken routinely. Bring only enough medications to last the entire time at camp. Keep it in the original packaging/bottle that identifies the prescribing physician (if a prescription drug), the name of the medication, the dosage, and the frequency of administration.
Brief Medical History
Help our volunteers understand your camper's medical history so they can better care for your camper.
This can be in addition to the above check marks - for example, frequent nosebleeds does not mean the camper is not generally healthy.
Wading depth only, with or without a gentle current.
Completed set of basic swimming classes and/or demonstrated ability to float and tread water. The beginning swimmer may be comfortable only in water they can touch bottom in with head above water or shallow water, with or without a gentle current.
Completed set of intermediate swimming classes and/or demonstrated ability to float, tread water, and do basic swim strokes (breaststroke, sidestroke). The intermediate swimmer is comfortable in deep water, may not be able to touch bottom, with or without a gentle current.
Completed set of advanced swimming classes, participates in swimming sports, and/or demonstrated ability to do many swim strokes (breaststroke, sidestroke, backstroke, etc) and basic life-saving maneuvers (float, tread water, etc). The advanced swimmer is comfortable in deep water with or without a gentle current.
If your explanation about your camper's health exceeded the space(s) above, please use this section to provide additional information about the camper that you think is important or that may affect the camper’s ability to fully participate in the camp program, or contact the Northern Lights Regional Office at [email protected].
The undersigned person represents that they are the custodial parent/legal guardian of the above identified participant. The camper has my/our permission to attend the indicated camping program sponsored by the Northern Lights Region of the Christian Church (Disciples of Christ) as scheduled during the month of July 2023.
In case of medical emergency, I/we understand that every effort will be made to contact a parent or guardian of the camper. In the event I/we cannot be reached, I/we hereby grant permission to the camp staff to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for the child while attending camp. I/we further release the camp directors, volunteer counselors, onsite staff, and the Christian Church (Disciples of Christ) in the Northern Lights Region from responsibility and liability for any accidents or illnesses occurring during camp. I/we also authorize the camp director or medical supervisor to dispense non-prescription drugs (i.e. Tylenol; ibuprofen) if the situation warrants, unless otherwise stated.
I/we understand that the camping experience grows in intensity as the week progresses. I/we recognize that missing any part of the week compromises my child’s experience of intentional Christian community and affects both my individual child and the camp community as a whole. I/we know that the demands outside this camp event may be in conflict with the commitment to spend a week apart in Christian camping, and I/we have chosen to have my child spend a week at camp uninterrupted. Thus, I/we agree to not text or call my child/youth during the week of camp. I/we acknowledge that I/we will be personally responsible for picking up my youth from the event if they violate any part of the covenant below.
I/we confirm that the participant has no physical or mental disabilities that would impair their participation except as noted above. I/we understand that the information provided on this form will be kept confidential and shared only as necessary to provide care of the participant.
Checking this box represents your digital signature and authorization. You cannot register for camp without accepting the "Consent and Release" information.
With your permission, the Region's program staff and our volunteer camp staff (counselors and directors) may photograph or video record your child for the express purpose of promoting the Region's Summer Camp program or the Youth and Children's Ministries program through print media, digital media, and/or internet platforms. With your permission, Livestream technologies, such as Zoom or Facebook Live, may be used to connect programming at camp sessions running concurrently in different locations, during which time your child may be in view of the camera. Further, the staff of the facilities the Region rents for the Summer Camp program (Gwinwood Retreat Center and Conference Center, Cane Ridge West Conference and Retreat Center) have your permission to photograph or video record your child for the express purpose of promoting their facilities and ministry of hospitality through print media, digital media, and/or internet platforms. Below you can choose to NOT give your permission.
Our summer camp, retreat, education and mission trip experiences depend on a commitment to living in intentional Christian community by the participants and the adult volunteers. To do so, we agree to a covenant that helps manage our relationships with one another, our behavior within community, and as a community. We require all participants to read and agree to our Community Covenant below.
Summer camp, retreat, mission trip, or education trips are an opportunity to come to know God while living in intentional Christian community. To ensure every person’s worth as a child of God and each person’s safety, all participants (youth, children, and adults) follow this Community Covenant:
I understand and accept that if I am found with, or participate in any of the following, that I could be sent home from summer camp, from a retreat, education trip, or mission trip experience at my families expense. I also understand that being sent home may limit or disqualify my participation in summer camp, retreats, education, or mission trips in the future.
I look forward to spending time in community with those who share my interest in exploring Christian faith and the practice of Christianity as we play, pray, study, worship, and serve one another following the example of Jesus.
You cannot register for camp, retreat, study trip, or mission trip experiences without agreeing to uphold the Community Covenant.
Our refund policy is built on the money that has already been spent in the preparation for a camp.
COVID-19 ExceptionIf the camper or a family member have been diagnosed with COVID-19, experienced COVID-19 symptoms, or have been exposed to someone who has been diagnosed with COVID-19 within two weeks prior to camp starting, you are asked to cancel the camper's registration and a full refund will be issued.
