2025 Peniel Youth Program Registration

The Peniel Youth Program offers a unique and memorable camp experience for youth ages 13-18 (or rising 8th grade to outgoing 12th grade)! Our youth stay in youth dorms with counselors so families are not required to attend with their teens! Youth in our program participate in youth services, activities and games, and much more!

Introducing Our 2025 Camp Theme...

As we grow up, we are faced with the question of "Who Am I?" How we answer this question defines our identity and impacts how we view ourselves and the world around us. When we look at the creation of mankind, we see that God had a special intention when He created us. God made us to be in relationship with Him and to reflect Him to others.

We are Made In His Image.

"Then God said, "Let Us make man in Our IMAGE, after Our likeness."
Genesis 1:26

About the Youth Program

When: July 17-27th, 2025

Where: Peniel Holiness Camp, 21750 State Highway 18, Conneautville, PA 16406

Cost: $100 (Early Bird Special) BUT... FIRST TIME YOUTH CAMPERS CAMP FREE!! ($25 refundable deposit required at registration)

Payment: PayPal Link Will Be Provided In Confirmation Email

Camper Information

Name

Address

Date of Birth

Gender

Male
Female

T-Shirt Size

First Time or Returning Camper?

First Time Peniel Youth Camper
Returning Peniel Youth Camper

Name of Church (if attending)

Name of Pastor of Church (if attending)

Will Your Youth Be A Late Arrival or Early Pick-Up?

Camper's Medical Information

Family Physicians/ Surgeons/ Pediatrician/ Orthopedist:

Child’s Allergies (if any):

Medicine Child Is Taking:

Name of Healthcare Insurance Provider:

Group #:

Agreement #:

Other Information We Should Be Aware Of

Release Forms

Please click the link below to go to the Peniel Youth Forms page and then download each of the required release forms. Once each of the PDFs is filled out. Please upload each document below.

Required Release Forms Download

Medical Release Upload

Browse

Photo Release Upload

Browse

Field Trip Release Upload

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Guardian Information

Name

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Will someone other than the guardian be picking up the camper?

See You This Summer! Keep Scrolling To Sumbit!

If you would like to contact us or are looking for more information about Peniel and the Youth Program, check out our website HERE.

We're building a new Boy's Dorm! If you'd like to donate towards our Boy's Dorm Fund, you can find that link HERE.

Be sure to tell your friends about Peniel! We love to see new faces at camp!

Almost done. Where should we send the confirmation?

Name

Mobile Phone Number

Event Registration Software by RegFox

2025 Peniel Youth Program Registration

Introducing Our 2025 Camp Theme...

About the Youth Program

Early Bird Registration Discount Ends:

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Camper Information

Camper's Medical Information

Release Forms

Guardian Information

See You This Summer! Keep Scrolling To Sumbit!

Almost done. Where should we send the confirmation?