Camper Registration

Camper Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Phone # *

(###)

###

####

Photo Release *

Do you give Dean Ostrander Ministries permission to photograph your child and utilize those photos for social media and advertising purposes?

Yes

No

Terms of Liability & Agreement *

By checking the "YES" box and typing my name below, I acknowledge that I am the parent/guardian of the previously named child. I also certify that I am at least 18 years of age. I agree to allow my child to attend and participate in all MYR activities occurring July 18-20, 2025. I will not hold Dean Ostrander Ministries liable if my child should contract any illness, including COVID-19, while at camp.

Yes - I agree to the terms of liability and agreement.

No - I do not agree to the terms of liability and agreement.

Adherence to DOM Policies *

I have read and will adhere to the DOM Policies regarding Cell Phones, Dress Code, and the Sexuality Policy.

Yes

No