Student Name

First Name

Last Name

Grade

Parent's Name

First Name

Last Name

Parent's Email Address

Parent's Phone Number

(###)

###

####

T-Shirt Size

Method of Deposit Payment

Cash/Check

Online

When you click Sign Up, you will be directed to the Youngsville Community Church giving link on our website.

Select> Give Online
Enter Amount
Select> Give one time
Select> Choose Fund > STUDENT CAMP
Enter personal information as directed

Note: If paying with cash/check, fill out the form and click sign up. Give your payment to Brian Kidd. You can also place the payment in the drop box with the student’s name and Fuge Camp on the envelope.

We’re so excited you will be joining us this year!

June 6-10, 2025 | Glorieta, New Mexico

Early Deposit: $25.00