2026 Camp Registration

Camp Registration

Please complete the form to register for Salt & Light Camp Ministries 2026.

Important Notice:

A copy of your Health Insurance Coverage/Updated Medical Form will need to be provided. Anyone not having verifiable health insurance coverage will be required to take the health insurance coverage through Brotherhood Mutual Camp Insurance Policy that will be sent to each approved applicant. Please complete the digital medical form at https://form.jotform.com/250474849554165

Complete form below.

Step 1 of 4

Camper's Information

Camper's Name(Required)

First Last

Date of Birth(Required)

Current Age(Required)

Gender(Required)

Camp Attending(Required)

Camper's Email

Enter Email Confirm Email

Camper's Phone

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Enter Email Confirm Email

Parent/Guardian Phone(Required)

Campers Address

Camper's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church Information

Church Name

District

Pastor's Name

Church Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2026 Camp Registration

Camp Registration

Please complete the form to register for Salt & Light Camp Ministries 2026.

Complete form below.

Camper's Information

Parent/Guardian Information

Campers Address

Church Information

Emergency Contact

Payment Details

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Mid-Atlantic Region Church of God of Prophecy

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