Harvest Youth, July 11th-17th, 2026
8-12th graders: This summer, join Harvest Youth on an amazing 7-day discipleship training adventure to the Black Hills of South Dakota!
Date: July 11th-17th
Cost: $300
To claim your spot, please fill out all the information in the form. If you have questions, just ask Jon!
Jon.harvestmn@gmail.com
320-333-8439
Space is limited!
Student Information:
Name
*
Grade:
*
Phone (optional):
Birthdate:
*
T-shirt size:
*
Student allergies, medications, or needs:
*
Parent Information
Parent/caregiver 1 name:
*
Parent/caregiver 1 relationship to student:
*
Parent/caregiver 1 cell phone:
*
Parent/caregiver 1 email:
*
This address will receive a confirmation email
Parent/caregiver 2 first and last name:
Parent/caregiver 2 relationship to student:
Parent/caregiver 2 cell phone:
Parent/caregiver 2 email:
Emergency contact name:
*
Emergency contact cell #:
*
Waiver
I understand that outdoor activities such as mountain biking, hiking, rock climbing, swimming, watersports, and canoeing are activities that involve risks, both known and unknown, for participants. My child’s participation in this event is voluntary and I assume full responsibility for any accidents, injuries, illness, or death of my child to myself.
*
Please select all that apply.
Yes
Parental/Caregiver Consent I have read the waiver and consent to my child participating on this trip:
*
Please select all that apply.
Yes
I authorize Harvest Fellowship to use my likeness in photograph, video, or other digital media:
*
Please select one option.
Yes
Initials:
*
Submit
Description
8-12th graders: This summer, join Harvest Youth on an amazing 7-day discipleship training adventure to the Black Hills of South Dakota!
Date: July 11th-17th
Cost: $300
To claim your spot, please fill out all the information in the form. If you have questions, just ask Jon!
Jon.harvestmn@gmail.com
320-333-8439
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