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All Churches are asked to pre-register by May 1st, 2024. (There will be a $5.00 late registration fee per person that registers after May 1st, 2024.)


Eastern Indiana Pentecostal Fellowship, Inc. is the sponsoring organization that is allowing at the campground at or near 5650 W County Road 250 N, Connersville, IN 47331. Activities will be provided during the camp including but not limited to Bounce Houses, Basketball, Volley Ball, Soft Ball and ATV rides (ATV rides are for all participants 12 years of age and over during the dates of May 28, 2024 – May 31, 2024. These ATV’s are personally owned by the drivers that are allowing the Participants to ride in their ATV on the property owned by Eastern Indiana Pentecostal Fellowship, Inc.)
The cost for each Participant is $70.
Each counselor and adult 18 years and older (and staying on the grounds) is required to complete a participant agreement, pay registration fee of $70 along with a $9 additional charge for background check and allow a background check to be completed.
(There will be a $5.00 late registration fee per person that registers after May 1st, 2024.)

Name of Participant:(Required)
I am a .... (must choose one)(Required)
Include Drink Package for Participant (Drink Package is unlimited soft drink package for the entire week of camp that also includes a souvenir cup $30):(Required)
Name of Parent/Guardian (if Participant is a Minor):
MM slash DD slash YYYY
Gender of Participant:(Required)
Name of Emergency Contact:(Required)
Is E. I. P. F., Inc. authorized to approve Medical Treatment?(Required)
Is Participant covered by personal/family medical insurance?(Required)
Consent (MUST READ IN FULL)(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.


For more Participant Applications, click on the menu and select YOUTH CAMP / REGISTRATION again. Complete next form and repeat as needed.


Include the cost for all participants. Please email Bro. Joshua Staggs with the name of the Church, the names of the Participants paid for, and the name you used for the ONLINE PAYMENT