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Personal Information


First Name
Last name
Mailing Address
City
State
Zip Code
Phone
Division
Corps
E-mail
Confirm E-mail
Parent/Guardian E-mail
Confirm Parent/Guardian E-mail
Birthdate (mm/dd/yyyy)
T-Shirt Size
Program Participant
Gender
Member
Dietary Restrictions





Other Restrictions
Emergency Contact
Name
Phone

Agreements


You must check all of the following boxes to indicate your agreement with these statements before submitting your registration.

By checking this box I personally assume responsibility for my actions, and release The Salvation Army from loss, injury or damage to myself or my property provided that nothing contained herein shall excuse The Salvation Army from responsibility to act with reasonable care for the health and safety of myself or my property.
By checking this box I hereby give The Salvation Army permission to use photos of me involved in Jamboree activities in their publications, promotions or other ministry materials.
If you choose not to check this box, complete your registration and then email a photo of yourself, spouse and/or children to USC.Youth@usc.salvationarmy.org as soon as possible.
By checking this box I hereby give permission to the medical personnel selected by the conference director to order x-rays, routine tests, treatment; to release any records necessary for insurance purposes, and to provide or arrange necessary related transportation for me. Should any dispute or controversy arise, I agree to seek resolution according to Biblical principles.

Completing your registration



Check that all of the information entered above is correct and then click the "Submit Registration" button below to process your registration.