Registration

SCY Winter Camp for high school students (grades 9–12) · February 5–7, 2027
Camper: $100 ($85 if you register by November 30) · Volunteer (18+): $40. Volunteers must complete LiveScan, mandated reporter training, and a pastor reference.

Registration Type

Camper (Grades 9–12) ($85.00)
High school students (grades 9–12). $85 early bird price through November 30.
Volunteer (18+) ($40.00)
LiveScan, mandated reporter training, and pastor reference required.
Camper – Church Pays ($0.00)
You register and your church covers the cost. Please confirm with your local church.
Volunteer – Church Pays (18+) ($0.00)
You register and your church covers the cost. LiveScan, mandated reporter training, and pastor reference required. Please confirm with your local church.

Participant Name

Date of Birth

Current Grade (2026–27)

Are you 18 or older?

Address

Gender

Male
Female

Home Church

Food allergies or dietary needs (write "None" if none)

Camp Rules

I, the undersigned, agree to the terms above.

A signed waiver by the participant or parent/guardian is required before you can download your QR code. A link to sign waivers for all registrants will appear on the confirmation page.

I am willing to serve wherever an extra pair of hands is needed*

Volunteer Agreement

I have read and agree to the terms above.

Pastor Reference

Ask your pastor to complete the pastor reference form.

Open Reference Form

Are you currently a Christ follower?

Have you ever held a ministry position?

Have you served at an SCY camp before?

I certify that my answers are true*

I have carefully read this foregoing release and know the contents thereof, and I sign this release of my own free will, as this is a legally binding agreement that I have read and understand.

Volunteer Health Questionnaire

For the safety of our students and staff, we cannot accept volunteers with major health conditions, due to the nature of the work required. Thank you for understanding. If you cannot volunteer at camp, we encourage you to ask your pastor about other ways to serve in your church. You are needed!

All medications (including Tylenol or Advil) must be turned in to the camp nurse on arrival.

Do you have any health condition that would prevent you from working with students effectively?

Medications you take (write "None" if none)

LiveScan Background Check

LiveScan form: print it and give it to your pastor or leader.

Open LiveScan Form

I understand I must complete LiveScan and mandated reporter training before camp*

Volunteer requirements (California AB 506): every volunteer must complete a LiveScan background check and child-abuse mandated reporter training before camp. If you completed a LiveScan with SoCal Youth in the past 2 years, you do not need to repeat it. Free training is available at mandatedreporterca.com.

Insurance Company

Insurance ID Number

Primary Physician

Physician Phone

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Parent or Legal Guardian

Second Parent or Guardian (optional)

Parent Email

Parent Mobile Phone

Parent Address

Emergency Contact (other than parent)

Emergency Contact Phone

I grant permission to the Pentecostal Church of God Southern California District, Inc. to use my image or my child's image (photographs and video) in media publications, including but not limited to: videos, email blasts, recruiting brochures, newsletters, magazines, general publications, website and/or affiliates, and other.

Who is signing the media release?

I am the parent or legal guardian of the participant
I am 18 or older and signing for myself

Medical Release

Download, sign, and bring the medical release form to camp check-in.

Download Medical Form

I understand the camp topics disclaimer*

Camp messages are geared toward high school students and may at times mention topics such as resisting the temptation of pornography and drug use. These are not the primary topic of any message, but they may be mentioned. By registering your child, you acknowledge that these topics may be discussed.

Subtotal

$0.00

Convenience Fee

$0.00

Total

$0.00

Registration

Volunteer Agreement

Pastor Reference

Volunteer Health Questionnaire

LiveScan Background Check

Insurance Information

Parent or Guardian

Emergency Contact

Media Release

Medical Release

Payment