Big ticket youth camp REGISTRATION

Please submit payment to Resurrection Life Church - Cadillac. Note "Big Ticket Youth Camp." Cost is $85 and includes transportation, camping facilities, all concerts, games, and lunch & dinner each day. Please bring your own breakfast (we recommend one box of cereal and one gallon of milk). Zip lines, rock wall, additional food, and concert merchandise can be purchased on site.

Student Name *
Student Name
Student Phone *
Student Phone
Please enter parent/guardian phone number if student does not have one.
Student Birthdate *
Student Birthdate
Please indicate all allergies your student has and/or medical conditions, including instructions for needed medications.
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone *
Parent/Guardian Phone
Emergency Contact Name
Emergency Contact Name
Please choose one other person who is not the parent/guardian listed above.
Emergency Contact Phone
Emergency Contact Phone
Parental/Guardian Permission *
Liability Waiver *
Media Release
Behavioral Policy *
Parent/Legal Guardian Signature *
Parent/Legal Guardian Signature
"By typing my name, I agree that I am the above age-18 legal guardian for this student and agree that I have read the above waivers/release forms."