Visalia Stake Girls Camp Registration

JUNE 27 - JULY 1, 2023

YCL'S JUNE 26 - JULY 1, 2023

Registration for camp requires different forms and permission slips in addition to this online form.

You MUST print and fill out the ones linked below and give them to your YW President BEFORE registration closes!

Click here for the Printable "LDS Parent or Guardian Permission and Medical Release Form"

If you need to get the form again, simply return to this page and select the links above. You do not need to register again.

Young Womans First Name *

Young Woman's Last Name *

Birth Date
Enter or select from the calendar below
(MM/DD/YYYY) format * +

What grade will you be in the 2023-2024 school year? *

Ward *

T-Shirt Size (Adult Sizes Only) *

Parent/Guardian Name *

Emergency Contact Number *

2nd Parent/Guardian emergency contact *

Second Emergency Contact Number *

Street Address *

City *

State *

Zip Code *

Parent or Guardian Phone Number *

Email Address ( Parents Email address preferred. This is the address or confirmation and updates will be sent.) *

Please let us know if you give permission for photos of you or your daughter to be posted or distributed for church use. *

Yes, I give permission

No, I do not give permission

Cost: $125 per person.

**ONLINE REGISTRATION WILL CLOSE ON 4/15/2023!

**ALL MONEY WILL BE DUE ON OR BEFORE 5/1/2023!

Make checks payable to own Ward. Give all money and forms to Ward YW President.

Note to Leaders and Ward Clerks! Each Ward will write one check to Visalia California Stake with the memo of Girls Camp 2023. The amount of the check should be for girls attending. (Example- 15 girls x $125 = $1815.00)

Dress Standards:

Please dress appropriately for each activity, activities and schedules will be given to you so you can dress accordingly. Refer to " For the Strength of Youth pamphlet. "

Follow the camp rules:

Stay in camp, respect others and their belongings. Respect camp facilities, leaders, staff, and YCL's.

By entering my name and date below, I am acknowledging the rules and agree to abide by the standards outlined in the "For the Strength of Youth" Pamphlet. (Download Here) *

Date * +

Parent Section

Medical/Medications Information and Treatment Consent

Activity Permission and Consent

Activity Permission

Do you give permission and consent for your child to participate in the boating, hiking and other water activities? *

Yes, I give permission

No, I do not give permission

By entering my name and date below I give permission and consent for my child to participate in the rappeling, hiking, and other outdoor activities. I understand there are inherent risks involved with this activity and hold all leaders harmless in the event of an injury.

Name of Parent or Guardian
*

Date * +

By entering my name and date below, I give permission for my daughter to participate in The camp activities I have not specifically declined and authorize adult leaders supervising these activities to administer emergency treatment to the above named participant for any accident or illness, and to act in my stead in approving necessary medical care. This authorization shall cover these activities and any transportation to and from all activities.

Name of Parent or Guardian
*

Date * +

Medical Information and Consent

Does your daughter have any of the conditions listed below?

If you do not wish to put this information here, you may click the link below and print this secion of the registration form. You must fill it out and give it to the Young Women's President of your daughters Ward. Without this information, the Young Woman will not be allowed to attend.

Click here for a printable Medical/Medication and Activity Release Form *

I am printing the form and filling out a hard copy

I am filling out the online form

Check All That Apply. check "None" if None. *

If you indicated that your child may have severe allergic reactions or susceptible to Anaphylactic shock. You must have your child bring an Epi-Pen or other medication needed to control the reaction. You cannot rely on there being another EPI-Pen available. Please indicate what allergen your child is severely allergic to and then include your name as acknowledgement.

Allergen(s) Name of Parent or Guardian
*

If any of the above are selected, please explain below *

0/2000 characters

Non-Prescription Medication Information

By entering my name and date below, I give permission for my daughter to take Non-Prescription medicines administered by the nurse (such as: Benadryl, Sudafed, Tylenol, Ibuprofen, Pepto Bismol, etc.). If necessary, the camp nurse will provide/administer these medications.

Medications must be given to a WARD CAMP LEADER, MEMBER of the STAKE YW PRESIDENCY, or CAMP NURSES prior to camp.

Name of Parent or Guardian
*

Date * +

Prescription Medication Information

Does your daughter need/may need to take Prescription Medications while at camp? If "YES", a "medications" section will appear below. You will need to complete the "Medications" section.

Need Prescription Medications? *

MEDICATIONS

This form needs to be filled out only if you are sending medication with your daughter to camp.

Please note that any medication sent to camp will require the offical Church signed parent/guardian permission slip. This includes allergy medication and inhalers. Please read the instructions below carefully, sign, and return to your ward Young Women President prior to attending camp or on the day of departure. If written permission is given by parent/guardian, a camper will be allowed to keep her inhaler with her.

All prescription medication must be in the original bottle from the pharmacy with doctor’s instructions. All over the counter medication must also be in its original container, and stored in a large Zip-loc bag with the camper’s name and ward boldly labeled with indelible ink. Please give this medication to your Young Women President prior to attending camp or on the day of departure.

	Medication	Dose	How Often	For What Purpose
1	Medication	Dose	How Often	For What Purpose
2	Medication	Dose	How Often	For What Purpose
3	Medication	Dose	How Often	For What Purpose
4	Medication	Dose	How Often	For What Purpose
5	Medication	Dose	How Often	For What Purpose

Parent or Guardian Email Address *

Visalia Stake Girls Camp Registration

JUNE 27 - JULY 1, 2023

YCL'S JUNE 26 - JULY 1, 2023

*Parent Section*

Medical/Medications Information and Treatment Consent

Activity Permission and Consent

Parent Section