Mandatory Form For Summer Camp!!
Below is the Health and Consent electronic form every kid needs filled out by a parent/legal guardian before they are allowed to get on the bus. Please be sure to fill this out! Thanks!
Click on the link below to fill out the form!  Our Area # is OR60!!!!!
Directions for Electronic Form:
Follow these easy steps. You may save your work and return to the form prior to submission.
1. Create an account using the Don’t Have an Account Yet link.
2. Click the Create New Form button.
3. Create your online signature.
4. Complete each page of the form, then click the Submit Form button.
You will need the following information to complete the form:
  • Camp name – camp that you or your child is attending.
  • Camp dates – the dates of the camp week that you or your child is attending.
  • Home area – Young Life area number that you or your child is associated with; ask your Young Life leader if you aren’t sure (you will search for this number by your zip code).
  • Health insurance information – Insurance company name, policy number, mailing address and phone.
  • Health history including immunization record.



Young Life East Portland | 6728 SE 156th Ave Portland, OR 97236-8318

Phone: (503) 708-8775

Connect With Us: