STEP 1: FILL OUT THE FORM BELOW AND THEN CLICK “SUBMIT”.

STEP 2: COMPLETE THE MEDICAL INFORMATION FORM.

STEP 3: ONCE THE FORM IS COMPLETED, YOU WILL BE REDIRECTED TO BROADFORDING CHURCH’S WEBSITE TO COMPLETE A PAYMENT FORM.

AFTER THESE STEPS ARE COMPLETED, YOU’RE REGISTERED!

Information for Camp Registration

Church Name

First Name

Last Name

Gender

Status

Are you coming to Victory Jam as a camper or a counselor?

Size

T-Shirt sizes range from Youth L to Adult 4X

Grade

Dietary Needs?

If you would like gluten free, vegetarian or dairy free meals, there will be an additional $40 charge for the week.

gluten free

diary free

vegetarian

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Please contact your youth leader if you have any questions.

Jessica Taylor | jtaylor@pmchag.com