2024 Livermore Young Men Camp Adult Registration
Livermore Stake Youth Camps will be Christ-centered, with daily spiritual activities including scripture study, prayer, and spiritual devotionals where youth may take the opportunity to learn and share their feelings about Jesus Christ.

During the camps, youth have the opportunity to participate in service and activities including hiking, outdoor skills, rappelling, waterfront, rock wall, and more.

PLEASE DO NOT FORWARD THIS FORM.  Please only submit this form if you have been specifically asked to attend all or portions of the Young Men camp.

We don't anticipate any fees for adults supporting camp and drivers can plan to be reimbursed for fuel.

Camp week logistics for young men:

High Adventure (all young men in groups) Logistics:

- Location:  Details TBD...in coastal North Bay Area

- High Adventure Dates:  July 30-Aug 1

In Camp Details:

- Location:  Camp Liahona Redwoods (27010 Skaggs Springs Rd, Annapolis, CA 95412)

- In Camp Dates:  Aug 1-August 3

Participant/volunteer Release to Use Name, Image, Voice Likeness, and Performance:  In order to take photos, videos, etc. of youth at camp and to contribute recorded media to stake and ward histories, social media, and other possible publications, local Church leaders have asked that we request a participant release.  (refer to the Church's form here (https://www.churchofjesuschrist.org/bc/content/shared/content/english/pdf/create/participant-release.pdf) to read the standard release language.  By submitting this registration, you indicate your understanding and acceptance of this release.  To opt out of this release, please contact your camp director.

Camp Director: Clint Jensen; c. (925) 263-9991; email: clint.jensen@gmail.com 
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First Name *
Last Name
Other names by which known (e.g. maiden name)
Address *
City *
State *
Zip Code *
Phone Number *
E-Mail *
Ward or Branch Name *
Which portion of YM Camp will you attend?
Birth Date *
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What will be your role at YM Camp?
Shirt Size *
Would you like a camp t-shirt?  
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Are you CPR certified? *
Note: ALL Adults attending Camp need to be CPR certified. If you need to get certified, here is an option: https://www.nationalcprfoundation.com/courses/standard-cpr-aed/ .  A copy/photo of your certification card will need to be submitted to Kevin Athey (drizztdn@gmail.com).  You can be reimbursed for reasonable CPR certification costs. 
If CPR certified, when does it expire?
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What date are you arriving to camp?
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What date are you leaving camp?
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If you are able to drive youth to camp, how many can you take? *
If you are able to drive to camp, are you covered with a reasonable amount of automobile liability insurance (see Church Safety Manual 4.23.7)?
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Any notes regarding transportation...

Read and acknowledge that you agree *
I agree to abide by all camp rules and instruction, both in letter and in spirit, and to assist the youth in doing the same. I will keep a good attitude and always show respect for the youth and other camp leaders. I will assist the camp director in any way possible in order to implement the most positive camp experience for the youth.
Required
Read and acknowledge that you agree *
I will participate in the camping experience with an attitude of respect and in good faith. Should any unforeseen difficulty arise, I will counsel at once with the Camp Director or priesthood leader in a spirit of love and friendship. In order to build unity and harmony at camp, I will never vocalize problems to camp staff other than the Camp Director. My electronic signature below indicates my understanding and acceptance of this pledge.

I agree to allow pictures taken of me to be used by the stake in stake histories, social posts, etc.
Required
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