Upper Cumberland Youth Camp 2022
All applications are due Sunday, April 10. A camper application fee is $75 and a staff application fee is $30.
UCYC accepts cash, check or Venmo to @ucyc2021.

Please be aware that the UCYC Board reserves the right to deny any camper or staff application. Past performance as a camper or volunteer may aid in the board's decision to deny applications. If you have further questions please email uppercumberlandyouthcamp@gmail.com or contact your youth leader.

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Applicant Name *
I am applying to be a *
Applicant Age *
Applicant DOB *
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DD
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Parent/Guardian Name
Phone Number *
E-mail address
Church Affiliation
Does Camper have medical issues/allergies? If so, please explain. *
Can camper swim? *
Camper may request one roommate.
T-Shirt Size *
Do you plan to stay the entire week at UCYC? Only those staying all week will get first priority if capacity is reached. If not, please explain.
Applicant Signature. By signing my name electronically, I agree to abide by all UCYC rules. *
Parent/Guardian Signature. By signing my name electronically, I give permission for my child to attend UCYC and give permission for any medical attention necessary due to sickness or accident. *
Please list any additional important information here:
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