Home
Register
YuhGlo Summer Camp 2024
YuhGlo Summer Camp High School & First Time Scholarship
Contact us
FAQs
Gallery
Home
Register
YuhGlo Summer Camp 2024
YuhGlo Summer Camp High School & First Time Scholarship
Contact us
FAQs
Gallery
YuhGlo Summer Camp 2023 (FA)
2023 YuhGlo Summer Camp (YSC) (Free Attendee)
Carefully fill out this form to register for YSC 2023
Step
1
of
4
25%
PERSONAL & CONTACT INFORMATION
Attendee's Name
*
First
Last
Please enter your official First and Last name as found on your official Government ID (if applicable). Any fraudulent registration will be revoked
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Attendee's Email
*
Enter Email
Confirm Email
Attendee Birthdate
*
MM slash DD slash YYYY
Attendee's Phone
*
Please add your personal cell phone number as it will be used to contact you via text message (US Phone Numbers only)
Attendee's Age
*
Note: 15 is the minimum age allowed at camp.
Attendee's Gender
*
Male
Female
Please ensure that this is accurate as it impacts Rooming Assignments
Are you registering for you & your family?
*
Yes
No
Family Lodging Consent
*
Please note that families are responsible for their own lodging in a nearby hotel. The registration payment that you will make covers all camp fees and meals during the camp duration, excluding lodging.
We have arranged special discounted rates at the nearby at Towneplace Suites by Marriott in Front Royal (540-749-0033) conveniently located close to the camp venue. Make sure to mention the group code "YUHGLO" when booking your room to avail the discounted rate.
Reservations must be made before August 10, 2023 to secure the special rate. If you have any questions or require further assistance regarding lodging arrangements or the camp in general, feel free to contact our team at 443-345-6471. We look forward to sharing this incredible camp experience with you and your family.
I have read and understood that I am responsible for lodging for this family registration.
Name of Family Member #1
*
Age of Family Member #1
*
Gender of Family Member #1
*
Male
Female
Name of Family Member #2
Age of Family Member #2
Gender of Family Member #2
Male
Female
Name of Family Member #3
Age of Family Member #3
Gender of Family Member #3
Male
Female
EDUCATION INFORMATION
Are you currently a student?
*
Yes
No
Current Education Level
*
Middle School
High School
Associate
Undergraduate
Graduate
Post Graduate
Please ensure that this is accurate as it impacts Rooming Assignments
What school do you attend?
*
Please Provide the Full Name of your School. e.g. "West Virginia University" and NOT "WVU" or "DubVee"
Highest Level of Education
*
High School Diploma
Bachelor's Degree
Master's Degree
Doctoral Degree
Please ensure that this is accurate as it impacts Rooming Assignments
CHURCH INFORMATION
Is this your first time attending summer camp?
*
Yes
No
Select the years you attended camp
*
Select All
2022 Summer Conference
2021 Summer Conference
2020 Virtual Conference
2019 YSC
2018 YSC
2017 YSC
2016 YSC
2015 YSC
2014 YSC
Would you like to volunteer for a team?
*
Yes
No
Select a team
*
I do not wish to join a team
Registration Team
Hospitality & Accommodation
Transportation Team
Social Media & Marketing Team
Production & Sound Team
Programming Team
Do you have a home Church?
*
Yes
No
What Church do you attend?
*
Please Provide the Full Name of your Church. e.g. "Overcomers Christian Church" and NOT "OCC" or "Overcomers"
Title
*
Eg. Pastor, Apostle, Bishop, Elder etc.
Pastor Name
*
First
Last
Home Church Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
May we contact your Pastor to share YuhGlo's mission?
*
Yes
No
REFERENCE
How did you hear about camp?
*
Instagram
Facebook/Meta
WhatsApp
Word of Mouth
Were you invited by someone to attend camp?
*
Yes
No
Who invited you?
*
Transportation
YuhGlo provides a charter bus that leaves from Atlanta, Georgia, Burtonsville, MD and Lorton, VA. IF YOU ARE COMING FROM ANOTHER STATE, OTHER THAN THE LISTED PICK UP LOCATIONS, YOU WILL BE PROMPTED TO SELECT AN AIRPORT OR STATE YOUR TRAVEL PLANS. Should the state you live in not have a pickup location, you may select and travel to a pickup location in a state closest to you to board a bus.
Where will you board the bus/flight to camp?
*
Atlanta, GA
Burtonsville, MD
Lorton, VA
Denver, CO
I will be driving by myself
Other
Please select the location where you will be boarding the bus for camp.
How do you intend to travel to the camp?
*
By Air
By Car
Please state your travel plans
*
Please indicate the date and time you will report to camp including anyone you will be traveling with.
Parental Consent
Do you have parental consent to attend camp?
*
Yes
No
Who's information do you want to provide?
*
Mother
Father
Guardian
Parent's Name
*
First
Last
Phone
*
Medical Information
Emergency Contact
*
First
Last
What is your relationship with contact?
*
Father
Mother
Guardian
Spouse
Friend
Emergency Contact's Phone
*
Emergency Contact's Email
*
Enter Email
Confirm Email
What are your dietary contraints
*
None (Eats all types of meat)
Vegetarian (Eats no meat at all)
Pescatarian (Eats only fish & shrimp)
Vegan (No Meat or dairy products)
Other dietary concerns
*
Please indicate any allergies or dietary constraints. If no, please put "None" or "N/A"
Do you have any medical condition or physical disability?
*
Yes
No
Medical Situation Disclosure
*
Please disclose any medical condition or physical disability.
Waiver of Liability and Hold Harmless Agreement
1. In consideration for participating in the “YuhGlo Summer Camp” event and other valuable consideration, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE YOUTH UNDER HIS GLORY (Hereafter referred to as “YUHGLO”), their officers, servants, agents, and employees (hereinafter referred to as RELEASEES) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted or in transportation to and from said premises. 2. To the best of my knowledge, I can fully participate in this activity. I am fully aware of risks and hazards connected with the activity, including but not limited to the risks as noted herein, and I hereby elect to voluntarily participate in said activity, and to enter the above-named premises and engage in such activity knowing that the activity may be hazardous to me and my property. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to property owned by me, as a result of being engaged in such an activity, WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEES or otherwise. 3. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASEES from any loss, liability, damage or costs, including court costs and attorney’s fees, that may incur due to my participation in said activity, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES or otherwise. 4. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assigns and personal representative, if I am not alive, shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of Maryland. 5. I UNDERSTAND THAT YUHGLO WILL NOT BE RESPONSIBLE FOR ANY MEDICAL COSTS ASSOCIATED WITH AN INJURY I MAY SUSTAIN. 6. I further agree to become familiar with the rules and regulations of YUHGLO Ministry concerning member conduct and not to violate said rules of any directive or instruction made by the person or persons in charge of said activity and that I will further assume the complete risk of any activity done in violation of any rule or directive or instruction. 7. I also understand that I should and am urged by YUHGLO Ministry to obtain adequate health and accident insurance to cover any personal injury to myself, which may be sustained during the activity or the transportation to and from said activity. 8. I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR ANY DAMAGE I CAUSE TO THE FACILITIES. IN AGREEING TO THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by same.
Agreement
*
I have read and agree to the Waiver of Liability and Hold Harmless Agreement.
After Clicking on Submit, you will be redirected to YuhGlo's Payment portal to pay and complete your registration.
Δ