Which Location?

  • Fredericksburg, VA
    July 22-27

  • Fredericksburg, VA
    July 29-August 3

  • (SAVE $50)

Additional Campers from the same family receive a $25 discount!

Deposit Information:

You will be given the option to pay this deposit using your credit or debit card or by cash or check in the billing information section at the end of this form. This deposit is non-refundable.

If you plan to pay the deposit using a credit or debit card, your card will be automatically charged for the remaining balance on the first day of camp unless you contact us with an alternative payment method before that date.

If you plan to pay the deposit using cash or check you will be given additional instructions when the form is completed.


Camper Information

*We accept those who will be going into the 7th grade as of Fall 2024 as well as those seniors who graduated from high school in the class of 2024.


Choose Your Camper's Area(s) of Interest:*

  • Drama and Music

    Drama and Music [4 remaining]

    Choose this track if your child is interested in being on stage and would be open to larger roles that involve singing and increased line memorization.


  • Chorus and/or Small Roles

    Chorus and/or Small Roles [8 remaining]

    Choose this track if your child is primarily interested in being involved in the musical numbers of the production and/or would be open to taking on a smaller role in the production as a secondary or background character with minimal lines.


  • Tech/Stage Crew

    Tech/Stage Crew [9 remaining]

    Choose this track if your child would prefer to work on the behind the scenes aspects of the production - specifically working with either lighting and sound or as a stage manager, prop manager, or stage hand. Feel free to select this track plus the “Chorus and/or Smaller Roles” if your child does have some interest in being on stage.


  • Costumes/Makeup Crew

    Costumes/Makeup Crew [12 remaining]

    Choose this track if your child would prefer to work on the behind the scenes aspects of the production - specifically working with costume design/creation and/or stage makeup/hair. Feel free to select this track plus the “Chorus and/or Smaller Roles” if your child does have some interest in being on stage.


Overnight or Non-Overnight?

Local campers can be picked up and dropped off each day if desired. They will still be able to participate in all of the camp activities.


Cast and Crew T-Shirt?


Medical Information


Please read the following information carefully and indicate your agreement:

Camper Agreement:

I am attending Alive Camp and I will gladly participate in all activities, respect others, and obey all camp rules. I understand that failure to comply with these standards could result in dismissal from camp without refund.

Waiver and Release of Liability:

1. Subject: Participant recognizes and expressly agrees that participating in any sport or activity is inherently dangerous. Further, participant recognizes that certain safety precautions are followed, yet following these does not guarantee nor does Keep Your Heart Ministries, Inc. / Crossroads Baptist Church guarantee participant’s safety.

2. Waiver and Release from Liability: Participant understands that Keep Your Heart Ministries, Inc. / Crossroads Baptist Church assumes no responsibility for injuries or illnesses that participant may sustain, a.) as a result of participant’s physical condition, b.) resulting from participant’s participation in the activity, c.) as a result of another participant’s or third person’s actions, or d.) as a result of participant’s use of Keep Your Heart Ministries, Inc. / Crossroads Baptist Church facilities, field, and/or equipment in connection with this activity. The participant releases and agrees to hold harmless, defend and indemnify Keep Your Heart Ministries, Inc. / Crossroads Baptist Church and their directors, staff, and supporters from and against any and all claims for personal injury (including loss of life) and all other losses or damages that the participant may suffer as a result of his or her participation and/or enrollment in retreat activities.

3. Medical Consent: Participant grants permission to Keep Your Heart Ministries, Inc. / Crossroads Baptist Church and its employees and staff to take the participant to a licensed physician for medical treatment, emergency surgery, or hospitalization if participant becomes ill, sustains an injury, or otherwise requires medical treatment or attention and Keep Your Heart Ministries, Inc. / Crossroads Baptist Church is unable to contact the emergency contact listed by participant. The participant gives consent to any licensed physician to administer drugs or medicine, or to perform such medical procedures as that physician determines necessary for the relief of pain and to preserve the participant’s life or health. Participant further authorizes Keep Your Heart Ministries, Inc. / Crossroads Baptist Church to give first aid, CPR, or other treatment by a qualified staff member to participant.

4. Property Loss: Participant understands and agrees that Keep Your Heart Ministries, Inc. / Crossroads Baptist Church is not responsible for personal property that is lost, damaged, or stolen in connection with this activity.

5. Binding Effect: The agreement shall be binding upon participant, his or her heirs, estate, successors, and legal representatives.

6. Acceptance: If any portions of this waiver and release are held to be invalid, participant agrees the remaining terms shall continue to be in full legal force and effect. Participant understands and agrees that this waiver and release is binding upon me and my heirs, estates, and legal representatives.

Photo/Video Release:

I grant Keep Your Heart Ministries/Alive Ministries the absolute right to copyright, re-use, publish, and republish by any medium, including electronically, any photos or videos of my child or in which they may be included, that may be taken while participating in Alive Camp activities.


Parent/Guardian Information



$0.75
$15.75

No refunds will be issued within 2 weeks of the first day of camp (unless purchase protection was added to your registration).

$15.75

Purchase ProtectionRECOMMENDED

Add Purchase Protection for a small fee and get a 100% refund of your registration purchase should you be prevented from attending due to a qualifying unforeseen circumstance. (Full Terms)

Why protect your registration purchase? Purchase Protection covers:

Severe Illness and InjurySevere Illness and Injury
COVID-19COVID-19
HospitalizationHospitalization
Death in FamilyDeath in Family
Transportation FailureTransportation Failure
Crime and Home EmergencyCrime and Home Emergency
Employment ObligationsEmployment Obligations
Acts of NatureActs of Nature
Legal ObligationsLegal Obligations

Purchase Protection covers many common unforeseen circumstances, but exclusions apply. View full List of qualifying circumstances and exclusions.

* Terms, conditions and exclusions apply. Not available for or applicable to events, attendees, or travel outside of the USA. Purchase Protection is a service offered by Purchase Protection LLC. Purchase Protection is not an insurance policy. It is a service that will refund you 100% of your event fees, taxes and dues should you be prevented by unforeseen circumstances from attending the event. Purchase Protection does not apply to, and will not reimburse, merchandise purchases and charitable donations. Purchase Protection fees will be charged as a separate transaction. Any changes made to your purchase will not change the amount covered in this agreement.

Read Full Terms and Conditions


Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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