Youth Camp 2026 FBCE Registration Form

Trinity Pines Conference Center

4341 FM 356 Trinity, TX 75862

June 29, 2026 to July 3, 2026

Primary Point of Contact while your student is at camp:

Cameron Conner
Youth Pastor
(806) 268-0541
cameronconner@fbceustace.net

This registration form is for church records keeping and attendance in church records and is separate from the Trinity Pines Conference Center registration form.

***Please submit $25.00 registration fee for T-Shirt and Booklet NO LATER THAN June 22, 2026 via Tithley or by sending Cash or Check. The Tithely link is on our website with the Youth Camp Link***

General Information

Student Name

Student Phone

Student Email

Address

Medical/Allergies

Allergies (Please list all if applicable)

Yes No

If yes to allergies, please list below. Please list allergy medications in Medication box.

Any Medical Conditions

Yes No

If yes to any medical conditions, please list below and any medications in the medication box below.

Any Medications (voluntary or required). Please also list dosage and frequency. If none, please put N/A

Additional Information

Please list any information not already input in the form

Primary Point of Contact

Name

Phone

This address will receive a confirmation email

Address

Emergency Contact

Same as Above Yes

Name

Phone

Address

Description

Please fill out this form and click submit.

Youth Camp 2026 FBCE Registration Form

Description

Please Fix the Following