Deaf Extreme Youth Camp Registration 2026

Teen Extreme Youth Camp 2026 (#24)

Primary Registrant

Complete the form below then follow the instructions for the payment screen. (Or pay HERE).

Fill out one form per family.

We've updated our registration process. Please download and complete the attached health form and bring it with you to camp.

First Name

Last Name

Date of Birth

Age

Deaf or Hearing?

Address

Address Line 1

Address Line 2

City

State

Zip Code

Name of church the camper is with

Additional Family Members For Teen Camp

Include additional siblings that plan to come to camp here. Skip if registering alone. Note: Family camp has a separate registration form HERE.

First Name

Last Name

Cell Phone

Emergency Contact Name

Emergency Contact Phone

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

List additional teen siblings here, name, and age. (Example: Emma, 12 / Liam, 15)

Health & Allergy Information

Please list any food allergies or dietary restrictions for each person in your party — include their name and describe the allergy and severity.

Example: Emma — peanut allergy, severe (no contact); Dad — gluten intolerance (avoid only)

Note: At camp check-in you will complete a health form for each individual covering insurance information, physician contact, medications, and any physical limitations. We will also need to make a copy of your insurance card. Please have all this information ready when you arrive. You may download and print the health form here to bring with you.

Please list any food allergies or dietary restrictions for each person in your family.

Food Allergy Reaction Type

Must avoid eating it only

Cannot be in contact with it / risk of severe reaction (e.g. EpiPen may be required)

If other allergy, or drug allergy, please list

Payment Options

Please select one:

I'll pay online

I plan to pay with check/money order when I arrive at camp

Harvest Deaf Camp 2026 T-Shirts

Pre-order your camp shirt to have it ready for you when you arrive at camp! You will pay for your shirt when you check in at the registration table at camp.

Deadline to pre-order camp shirts is June 29th.

Adult T-Shirt Size (Please list the name and size of the adults needing a t-shirt)

Youth T-Shirt Size (Please list the name and size of any children needing a t-shirt)