WINTER 2025 PARTICIPANT LIST

WINTER RETREAT 2025 PARTICIPANT LIST

Why do we need the names of each participant? Deer Run Camps and Retreat Centers requires that we provide to them a list of every individual that will be attending the camp for insurance and security purposes.

How do I fill out the form? The form below is completely digital. It is able to be filled out on your computer and submitted at the bottom of the page. Please do not try to print off and write in the info. Typing in the information yields fewer errors in communication. Only participant lists submitted through this form will be accepted.

There is a section for adult participants (separated by gender) and a section for youth participants (separated by grade completed and gender). PLEASE BE SURE YOU ARE ENTERING NAMES IN THE CORRECT CATEGORY.

Please complete your Participant List form by February 5, 2025.
If you have any questions about the digital form or having issues submitting, please reach out to Ethan at (662-374-3665) or ethan@m28camps.com.

WINTER PARTICIPANT LIST 2025

Please fill out your church’s information below and then press submit at the bottom of the page.
If you have any questions, please feel free to reach out via text to Allyson at (662-231-9929).

Church Name

Youth Director Name

First Name

Last Name

Youth Director Cell Phone

(###)

###

####

**PLEASE READ** The participant list registration form begins below. There is a section for adult participants (separated by gender) and a section for youth participants (separated by current grade and gender). PLEASE BE SURE YOU ARE ENTERING NAMES IN THE CORRECT CATEGORY.

ADULT REGISTRATION

Below we will ask you to provide the names of your ADULT participants.

Please List all Adult Male Participants

If you have any college students who would like to be placed in the COLLEGE D-GROUP, please place an asterick * by their name.

Please List all Adult Female Participants

If you have any college students who would like to be placed in the COLLEGE D-GROUP, please place an asterick * by their name.

YOUTH REGISTRATION

Below we will ask you to list your youth participants separated by commas and categorized by grade completed and gender. PLEASE BE SURE YOU ARE ENTERING NAMES IN THE CORRECT CATEGORY!

FEMALE Youth Participants

PLEASE BE SURE YOU ARE ENTERING NAMES IN THE CORRECT CATEGORY!

I understand that this next section is only YOUTH FEMALE participants, separated by grade and listed with commas.

YES! I will only list YOUTH FEMALE PARTICIPANTS in this section.

6th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

7th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

8th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

9th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

10th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

11th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

12th Grade - Youth Female Participants (separate names by commas)

If none, simply type "N/A"

MALE Youth Participants

PLEASE BE SURE YOU ARE ENTERING NAMES IN THE CORRECT CATEGORY!

I understand that this section is only YOUTH MALE participants, separated by grade and listed with commas.

YES! I will only list YOUTH MALE PARTICIPANTS in this section.

6th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

7th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

8th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

9th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

10th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

11th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

12th Grade - Youth Male Participants (separate names by commas)

If none, simply type "N/A"

Do Any of Your Participants (adult or youth) Have any Food Allergies that we need to be aware of?

Total Number of Participants Including You

I have DOUBLE checked the above information and agree it is correct AND separated into the respective categories provided.

YES! See You on the Mountain!

Are there any questions you have for our team?