North America Youth Camp 2025 VENUE:POTOMAC PARK RETREAT CENTER11 Tabernacle Way, Falling Waters, WV 25419 Please enable JavaScript in your browser to complete this form. Please enable JavaScript in your browser to complete this form. Are you attending as * Church/ Fellowship Individual Select number of attendees Please enter a value greater than 0 and less than or equal to 20. Church/ Fellowship Name* This field is required. Church/ Fellowship City* This field is required. Church/ Fellowship State* This field is required. Attendee Name* First This field is required. Last This field is required. Age * This field is required. Gender* Male Female This field is required. Check Date(s) Attending * July 24, 2025 (Thursday) July 25, 2025 (Friday) July 26, 2025 (Saturday) July 27, 2025 (Sunday) This field is required. Guardian Name * First *Guardian – Representative from the Church/Fellowship This field is required. Last This field is required. Guardian Address * Street, c/o This field is required. Address * Street, c/o This field is required. Address Line 2 Apartment, Suite, Unit, Building, Floor, etc. City * This field is required. State * This field is required. Zip Code * This field is required. Country United States of America Canada Guardian Cell Phone* This field is required. Enter valid phone number. Cell Phone* This field is required. Enter valid phone number. Guardian Email* This field is required. Enter valid email. Email* This field is required. Enter valid email. Emergency Contact Name * First This field is required. Last This field is required. Emergency Contact Phone * This field is required. Enter valid phone number. How many are attending with you? (Additional guardians/guests) Please enter a value less than or equal to 7 Are you traveling with a volunteer from your local church? Yes No This field is required. Name of the volunteer you will be traveling with * First This field is required. Last This field is required. Age * This field is required. Gender* Male Female This field is required. Is there anything else we need to know such as food allergies/medical needs/travel needs? * This field is required. Please fill out all required fields with valid details. Form submission failed. Please try again later. Submit Dear Brother / Sister, Greetings in the Holy name of our Lord and Savior Jesus Christ! We are thankful to the Lord for your willingness to attend the North America Youth Camp 2025, and we acknowledge your registration. Please uphold all the Youth Camp arrangements in your prayers. More information about the camp (such as the schedule, packing list, etc.) will be emailed around July 10th. If you have any questions, please email us at naassemblies@gmail.com or call/text 215-439-0244. With Love & Prayers North America AssembliesAnd they continued stedfastly in the apostles’ doctrine and fellowship, and in breaking of bread, and in prayers. Acts 2:42