Forms

Camper Registration Form

(for participants age 11-18)

UCanoe Waiver can be found here


Adult Registration Form

(for participants age 19+)


Pastoral Recommendation Form

(REQUIRED for each Adult Participant)


Church Registration Form

(for Head Counselors and Church Leaders)


Medical Registration Form

(for all participants)


Mr & Ms Youth Camp Application

Click here for Mr/Ms YC Resume Requirements


Sports Sign-up Forms

Activities Sign-up Forms

Use these forms to allow your campers to sign-up for Sports and Activities prior to your arrival at BPYC. These forms will also be available during Registration. All completed forms must be submitted prior to 4pm on Monday of camp.


Camp Participant Roster

Head Counselors: To make things run smooth during Registration, please use this form to keep track of the camp participants from your church. Our recommendation is that you complete this form as you are loading your buses/vans on Monday morning as you prepare to travel to Barbourville. This way you will know exactly how many participants you are bringing.


Registration forms, supporting documents, and funds should be sent to the following address:

Barbourville Pentecostal Youth Camp

Attn: Bobby Grubbs

PO Box 133

Pineville, KY 40977

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