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2026 Stake Young Men Camp Leader Registration
June 23-26
Jordan Lake State Park - Vista Point Campground
2498 N Pea Ridge Rd, Pittsboro, NC 27312
Leader's Name
*
First
Last
Ward/Branch
*
Please Select
Bethania
Dobson
Lewisville
Mount Airy
Peace Haven
Pilot Mountain
Salem
Sparta
Stuart
Tanglewood
Winston Salem
T-Shirt Size
*
Please select
S
M
L
XL
XXL
Home Phone
*
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Cell Phone
*
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Email
*
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
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If you will NOT be attending the full camp dates, please note the dates you will be at camp.
