Register Today!

Open Registration until December 29th: $30

For Scholarships: Email: [email protected]


Event Details (at a glance):

Who: LGBTQIA+ and ally youth ages 12–18

When: December 31, 2026– January 1, 2027 (Thursday - Friday) (THIS IS AN OVERNIGHT CAMP)

Where: Fayetteville, Arkansas (Specific location will be sent to registrants) 

Cost: $30 Per Camper

If you need to drop your child off ahead time, please email [email protected]


Camper's Personal Information

Age should be between 12 and 19 as of December 1st, 2026

If your child is just outside the 12-18 age range but you still want them to attend, you may contact us about making a limited age exception


Camper's Health and Medical Information


Camper Special Permissions




Parent / Guardian's Information



Emergency Contact Information

This is who we will call if we cannot reach listed guardian(s).


A signed waiver by event participant or parent/guardian is required to complete registration. A link to obtain the signed waiver will be shown on the confirmation page.

Waiver:

I hereby give my permission for the child(ren) under my care to participate in Queer Camp. Participation in any program which involves physical activity exposes the camper to certain risks and dangers. Accidents and injuries are always a possibility, and it is impossible to foresee and protect the camper from all conceivable dangers. I hereby affirm that I have disclosed any conditions that would make it unsafe for the child(ren) under my care to participate in Queer Camp. I understand that reasonable measures will be taken to safeguard the health and safety of all Queer Camp participants and that I will be notified as soon as possible in case of any emergency affecting the child(ren) under my care. In the event that I cannot be reached in an emergency, I hereby authorize emergency contact for the child(ren) under my care to act on my behalf. Furthermore, if the emergency contact nor I can be reached, I authorize Queer Camp/Good Shepherd Lutheran Church to select a physician and/or hospital to provide emergency medical and surgical treatment and to provide routine health care; to administer medications; to order x-rays, routine tests, treatment; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation. I understand that my insurance is the primary coverage and that I will be responsible for any/all fees incurred during emergency medical services for the child(ren) under my care.

I understand that the child(ren) under my care can be dismissed from camp for reasons including, but not limited to: consistently disruptive behaviors, illegal activity, persistent breaking of camp rules, emotional or physical abuse of another camper or staff member, contagious illness, or destruction of property. Acknowledging that participation in camping programs carries with it the risk of injury, I agree that Queer Camp, its agents and staff shall not be liable to me or the child(ren) under my care for any injury or damage, howsoever caused, resulting directly or indirectly from the child’s participation in Queer Camp at any time preceding, during, or after camp is in session. I hereby discharge Queer Camp/Good Shepherd Lutheran Church, their agents and employees from all actions, claims, and demands my child or I may have for any such injury or damage. I hereby grant permission to Queer Camp leadership, staff, and screened volunteers to involve my child in adventure/group building activities as part of the regular camp program.

By selecting "I agree" and typing your full name below, you acknowledge: 

  1. The information provided by you on this form is complete and accurate.
  2. You have been provided an opportunity to ask questions or voice concerns about any of the information one this form.
  3. You fully understand and agree to all information and terms laid out on this form.



Select Registration

For this event, we require that you pay in full. If we do not reach minimum camper requirements, we will issue a full refund within 10 business days.

  • Sign up until December 28 2026.


$

Add Purchase Protection in Case of Drop-Out?


Total Due

$33.42
Includes $3.42 of processing & fees


Add Purchase Protection and get a 100% refund of your event purchase should you be prevented from attending due to a qualifying unforeseen circumstance. See all that's covered.

Sudden illness or injury
Death in the family
Transportation Failure
Employment Obligations
Acts of Nature
Crime & Home Emergency

Terms, conditions and exclusions apply. Not an insurance policy. Offered by Purchase Protection LLC. Not available for or applicable to events, attendees, or travel outside of the USA. Purchase Protection fees will be charged as a separate transaction. Read Full Terms & Conditions

RegFox Event Registration Software