Camper Registration

Event Timing: August 19-22, 2026
Event Address: Camp Lake Mayfield
Contact Rev. Michael Moore with questions (509) 280-4941 or cmdirector@waupc.net

A warm welcome by Washington District Children’s Ministry Director, Michael Moore:

On behalf the Washington District Children’s Ministries, we are pleased you are joining us this year for Junior Camp. Our theme this year is “Chosen Generation”. Our mission is three-fold: Holy Ghost, Holy Ghost, and run the kids down until they pass out for the night.

Please read the Rules and Regulations carefully and go over them with your camper.

REGISTRATION AND ADMISSION:
Registration must be complete and paid in full before admission to Junior Camp or participation in any activities, services and meals. Anyone wishing to visit the campground must obtain a ‘Visitor’ badge and pay any meal or overnight fees before attending any activities, services or meals. Registered campers are not permitted to leave the grounds before check-out without permission from both the Camp Director and Head Counselor unless specific permission is given to the Parent/Legal Guardian registering the child.
CABIN ASSIGNMENTS:
Registered campers are not permitted inside any cabin (other than the one they have been assigned) without permission and in the presence of a resident of that cabin. Anyone else, including visitors, that are not assigned to the cabin are not permitted inside without permission from both the Camp Director and Head Counselor and in the presence of the assigned cabin’s Counselor except for a gender appropriate Head Counselor. Boys and girls and men and women are not permitted to enter a cabin assigned to the opposite gender for any reason. The Camp Director or Head Counselor may enter any cabin in the event of an emergency or if defacement of property has occurred. Campers must receive permission from both Counselors and the Head Counselor to change cabin assignments at any time.
DIRECTIVES FROM STAFF:
Registered campers are to report directly to their assigned counselor and will comply with the directions of all counselors and staff. Should a conflict arise between a counselor and camper, it must be taken to the Head Counselor for consideration. Registered campers are to comply with all scheduled directives including activities, services, meals, showers, lights out and wake up and are to remain inside their assigned cabin with the lights turned off between the times of lights out and wake up. The parent and pastor of a camper found disregarding any directive will be notified.
RESPECT OF PROPERTY:
Registered campers are expected to respect the property of those around them, the facilities of which we are renting, and the natural surroundings thereof. Campers must also be responsible for their own property. Any camper found defacing anything that does not directly belong to him/her will be responsible for the value of the damage incurred.
RESPECT OF PERSONAL SPACE:
No hitting, kicking, tackling, chasing, pushing, shoving, inappropriate touching, pinching, slapping, poking, grabbing, or hair pulling allowed.
PROHIBITED:
Music in any form, electronics of any kind (including cell phones), weapons, tools, drugs, tobacco, alcohol, and lighters are strictly prohibited and are not to be in the possession of any registered camper at any time during Junior Camp (cameras are okay).
MODESTY AND APPROPRIATE ATTIRE:
Registered campers must always dress modestly. Tight fitting clothes, sleeveless shirts, see-through material, low-cut necklines, shorts or skirts above the knee and shirts showing a midriff are strictly prohibited. Girls are to wear skirts that are below the knee in length while standing and sitting and boys are to wear pants or shorts that are below the knee while standing and sitting. A slit in a skirt may not come above the knee while standing or sitting. Additionally, sleepwear and swimwear are not to be worn outside the cabin, shower area, or swimming area without a fully enclosing robe or other covering unless it fulfills the guidelines for modest apparel as outlined above. Swimwear should be age appropriate and modest (play clothes on the water slide are acceptable). Also, no aggressive, worldly, or inappropriate logos will be permitted to be worn.
SAFETY AND SECURITY:
Campers are always to remain on camp grounds or in the accompaniment of their counselor. Campers are not to leave the grounds with anyone not on staff, including adults that they may be familiar with. Campers should not be wandering the grounds by themselves or away from their assigned activity. Campers are to stay away from bodies of water, and water features (such as a water slide) when they are not assigned to be there. Campers will have a name badge and must try their best to keep it with them. Campers’ pictures will be taken at check in for identification and security reasons only.
FIRST AID AND MEDICATION:
All first aid must be rendered by the staff nurse and/or assigned assistance. All medication must be turned in to the nurse at registration. The nurse will record medications, dose, and frequency and campers are to respond to the nurse’s requests without hesitation. Campers are responsible to collect their medications at check-out.
PHOTOGRAPHY:
Washington District Junior Camp is designed to a fun and spiritual experience for campers and staff. To aid in promoting the event, staff will be taking pictures and recording events for marketing and promotions. If you do not wish your camper to participate in being photographed, please indicate so on the registration form below.

Camper Information

Camper Name(Required)

First Last

Age(Required)

Please enter a number less than or equal to 100.

Gender(Required)

Date of Birth(Required)

Parent or Guardian Name

First Last

Email(Required)

Phone(Required)

Parent or Guardian Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact Name(Required)

First Last

Phone(Required)

Name of Ride Home(Required)

First Last

Phone(Required)

Consent

Camper Signature

Parent or Guardian Signature

Church Information

To attend the Washington District Junior Camp, this camper must be sponsored and approved by a pastoring minister licensed and in good standing with the United Pentecostal Church International.

Sponsoring Church(Required)

Name of Pastor(Required)

First Last

Phone(Required)

Questionnaire (see notes in Rules and Regulations)

Has the camper been filled with the Holy Ghost?(Required)

Yes

Has the camper been baptized in Jesus Name?(Required)

Yes

Is the camper permitted to swim during camp?(Required)

Yes

Does this camper have bee or other insect allergies?(Required)

Yes

Does this camper have fainting or dizzy spells?(Required)

Yes

Does this camper have frequent nose bleeds?(Required)

Yes

Does this camper take any medications?(Required)

Yes

Is camper permitted to be photographed for marketing purposes?(Required)

Yes

List of Medications

Please include a list of medications that the camper will be bringing to camp and any details regarding medical conditions or allergies indicated.