September 16th - 18th, 2022 

Lake Placid at Hartford City, IN 


Registration forms and $25 deposit are required by August 1, 2022 for the best registration rate. 


$60 Registration (= deposit + $35) Chartered Outposts registered by August 1st 

$75 Registration (= deposit + 50) Unchartered Outposts registered by August 1st

$25 Registration (= deposit + $0) Adult Camp Staff by August 1st

$15 Late fee added to all registrations after August 1st, no patch or t-shirt will be provided



JLDA 2022 Rev -.docx

For acceptance at JLDA this entire registration must be completely filled out (including required signatures). 

Staff Information

Pastor's Certification for Adult (18+) Church Worker

I am personally acquainted with the adult applicant named above. In my opinion, he is a competent and qualified youth worker. I know of no facts of allegations that raise any questions concerning his suitability for working with minors in any Royal Rangers activity. The church has on file the applicant's youth workers screening form. I recommend him without reservation.

Adult Applicant's Signature

I affirm my answers are true and complete to the best of my knowledge. I have my pastor's approval to work with youth and have completed my church's volunteer screening process. I pledge myself to cooperate with the leadership of the Indiana Rangers ministry. I will maintain a personal discipline and a spirit that exemplifies Christ at all times. I will put the physical, mental and spiritual welfare of the campers as first priority.

In Case of Emergency, Please Contact:



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