CCYC2025
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Camper Forms and Additional Information

 The following forms are available for download. 

Please complete and return all required forms. Additional forms, if needed, can be found at the bottom. You may submit them in person at the church office or via email at ccyccampadmin@gmail.com

Required for all Campers

Camper Health History Record (pdf)Download
Camper Record of Physical (pdf)Download
Camper Registration (pdf)Download
Camper to Counselor Letter (pdf)Download
Topical Preparations Permission Form (pdf)Download
Parent Handbook (pdf)Download
Certificate of Medical Exemption_English copy (pdf)Download
Certificate of Nonmedical Exemption_English copy (pdf)Download
Certificate_of_Immunization (pdf)Download

Additional Forms as needed

Allergy Self Carry Contract (pdf)Download
Camper Food Allergy_Special Diet Form (pdf)Download
Permission for Medication Administration (pdf)Download
Scholarship Application (Optional) (pdf)Download
Seizure Emergency Care Plan (pdf)Download
Asthma Self Carry Contract (pdf)Download

CCYC Sunday, June 21st- Saturday, June 27th

What to Bring:


● Toothbrush &/paste, shampoo, soap, towels and washcloths, sleeping bag, extra blanket and

pillow.

● Bug spray

● Flashlight plus extra batteries

● Jacket (it can easily drop below freezing in the evenings)

● Clothes for all weather. Jeans or long pants, short and long sleeve shirts, sweatshirts, gloves,

etc. NO shorts. (There are no laundry facilities available, so bring plenty of clothes.)

● EXTRA socks and shoes.

● Water Bottle

● LARGE, HEAVY TRASH BAG for dirty clothes

● Bible (non electronic), notepad, and pens.

● It is suggested to bring a watch and a camera (disposable or digital) because ALL other

electronic devices are prohibited.

● Put name on all personal items*


Reminder: At registration Camper and Parent Agreed to the following:

● Positive Attitude

● No cell phones, iPods, iPads, electronics, etc.

● No shorts, halters, tank tops, or immodest clothing.

● No soft drinks or energy drinks.

● No guns or airsoft guns, knives, sharp objects or anything that could be used to hurt someone.

● No tobacco products, alcohol, or drugs.

● Campers may not leave camp boundaries unless accompanied by CCYC staff and with

directors permission.

● I understand that the director reserves the right to send any camper home, without refund, at

parents expense, for any inappropriate behavior.


Reminder to Parents/Guardians:

● Registration begins at 4:00pm on Sunday. Please do not arrive early.

● Campers must be picked up by 10:00am on Saturday, June 27th. No camper may leave until

cleanup is complete.

● Medication must be labeled, in original/official container and given to our camp nurse at

registration.

● We will not have a variety show this year due to the shortened week.

Files coming soon.

  • CCYC 2026

YGGJ

2893 Patterson Road, Grand Junction, Colorado 81506, United States

970-245-4210 https://pattersonroad.church

Copyright © 2026 YGGJ - All Rights Reserved.

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