Student Life Camp 2027

July 12-16, 2027 | We are going to University of the Ozarks in Clarksville, Arkansas, for Student Life Camp! Student Life is a great camp that is dedicated to helping students grow in their faith through engaging worship, sound biblical teaching, and community-building in small group Bible studies.

Student Name

Gender

Please select one option.

Male Female

Parent Email

This address will receive a confirmation email

Phone

Address

Birthday

T-Shirt Size

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Adult Small Adult Medium Adult Large Adult XL Adult XXL Adult XXXL

Grade Completed

Please select one option.

6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Preferred Roommate(s)?

Allergies?

Medications

Insurance Company

Policy Number

Emergency Contact (Parent Name & Number)

Permission to Attend

Please select one option.

Yes

Release of Liability

Please select one option.

Yes

I permit my child(ren) to be transported on the van, bus, and/or volunteer drivers of Immanuel to and from Student Life Camp from 7/12/27-7/16/27.

Please select all that apply.

Yes

I give permission for photographs and videos (print, electronic, and/or social media use) in which my child(ren) appears to be used for publications and public relations activities by Immanuel Baptist Church.

Please select all that apply.

Yes

If you would like to submit your deposit payment online, please enter the deposit amount of $75 in the payment section below. However, if you prefer to bring your payment to the church office, please leave the payment section blank.

Final cost of SLC is TBD after Pie Auction 2027.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 12-16, 2027

We are going to University of the Ozarks in Clarksville, Arkansas, for Student Life Camp! Student Life is a great camp that is dedicated to helping students grow in their faith through engaging worship, sound biblical teaching, and community-building in small group Bible studies.

Student Life Camp 2027

Description

Please Fix the Following