MPulse

Camper Information

Camper First Name*

Camper Preferred Name

Camper Last Name*

Camper Birthdate*

Camper Mailing Address*

Country

Street

City

Region

Postal Code

Gender

Female

Male

Camper Grade (grade entering in fall 2026)*

Camper mobile phone

T-shirt Size*

Term of Entry

Student Type

Requested Roommate
(if you do not have a roommate now, you can always request a roommate at a later date by emailing leadershipcamps@acu.edu)

Parent Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email* (this will be the primary email for camp communication)

Relationship to Camper*

Parent/Guardian Phone*

Emergency Contact (name and cell phone)*

Church Involvement

What is your religious affiliation?

Are you attending MPulse with a group?

Yes

No

What group or church youth group are you attending camp with?

What church do you currently attend?
(Type any combination of your church's name and the city/state where the church is located and then select your church from the list of options.)

Health History

Other medication allergy

Other allergy

Other health concerns

Other social concerns

Are you currently taking any medications that you will continue taking during leadership camp?

Yes

No

Please list the name, dose, frequency and reason for us

If you would like to notify Leadership Camps of a health concern or disability regarding your camper, please email leadershipcamps@acu.edu.

Terms and Conditions

I understand that to complete the application process, the online application and deposit must be submitted.
I understand that camp sessions are filled on a first-come, first-serve basis. Acceptance to a camp session will be determined by the order in which the applications are entered online. In case of a full camp, I can choose to add my camper to the waiting list or register for another session where space remains available.
I understand that for all overnight camps, campers may only attend 1 session of their age-eligible session.
I understand that registration must be fully completed and paid in full by May 1st. Failure to do so will result in the camper being removed from our active camp roster and being placed on our waiting list. Any registrations made after May 1 will require a payment in full for the registration to be considered.
I understand that a camper may cancel their registration 2 weeks before camp and receive a refund for any additional paid funds beyond the non-refundable deposit.
I understand that no refunds will be made for withdrawals from camp due to illness once a camp session has begun. I understand that if my camper does not attend camp and has not notified the camp office 2 weeks prior to registration, my entire tuition, including deposit, will be forfeited.
I understand that the parent/guardian whose signature appears on my child's Release Form is responsible for the total payment of the registration fee, including campers whose registration is paid in part (or full) by a church or sponsor. If a church or sponsor is paying the registration fee the parent/guardian is also responsible for making such arrangements and communicating those to the Camp Office.
I understand that the camp director reserves the right to dismiss from camp any camper whose influence and/or conduct becomes in any way detrimental to the best interest of the other members of camp. No refunds will be made for dismissals due to conduct.

I (parent/guardian) agree to the Leadership Camps Terms and Conditions*

Yes

Cell Phone Policy

Our cell phone policy is simple to understand: NO CELL PHONES (this includes any electronic devices that would distract a camper from the camp setting.)

The heart behind our new policy is to help our campers as well as staff be free from distraction and allow them to bond with one another as quickly as possible during their week of camp. If campers bring electronic devices to camp to make and receive phone calls, play games and use applications, they become a distraction from camp activities and end up having a negative effect on the camp environment. If your camper intends to use their device to access the Bible, we would ask that you provide them with a hard copy before they arrive at camp. If a Bible cannot be provided, we will supply the camper with one free of charge.

Please know, camper safety is our first priority. If a family emergency requires a parent to reach their camper, they will be able to do that by contacting our office at the numbers listed below. Likewise, in the event of any type of emergency at camp, physical or otherwise, parents and/or guardians will be contacted promptly.
Camp Office, 8:00 a.m. - 5:00 p.m. each weekday: 325.674.2033

We will ask all Youth Ministers or Volunteers who bring campers to camp to collect all such devices and return them at the end of the week. We ask that our parents please help us enforce this policy. If you are personally dropping your camper at camp, PLEASE take their device(s) with you. If a device is discovered by any staff or adult volunteer, it will be collected and stored in the Camp Office until the end of the camper's session.

I (parent/guardian) agree to the Cell Phone Policy*

Yes

Release and Indemnification Agreement

Agreement and Permission to Participate
I approve this application and the conditions listed here and on the registration website, and I hereby certify that my child is willing and able to adhere to the camp policies which can be found at acucamps.com/policies. I grant permission for my child to participate in every activity offered at camp, except as noted in my camper's medical history.

Heath History Accuracy
The health history that I have provided is correct as far as I know, and the person herein described has permission to engage in all prescribed camp activities, except as noted.

Authorization for Treatment
In the event that I cannot be reached in an emergency, I hereby give permission to the camp director to provide or arrange necessary transportation for my child and to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injections, x-rays, routine tests, anesthesia or surgery for my child.

Permission to Photograph/Video
I understand that as a participant, my child may be photographed or videotaped during normal activities, and these photos/videos may be used in promotional materials or other publications including the camp website.

Assumption of Risk, Release and Indemnification Agreement
I am fully aware of dangers and risks involved in ACU Leadership Camps, which include, but are not limited to bodily injury, COVID-19, and other communicable diseases, property damage, and loss of property sustained during participation in camp activities or during transportation to and from Leadership Camp activities, and I choose to allow my child to participate in Leadership Camps with full knowledge that Leadership Camps may expose campers to such dangers and risks. I THEREFORE AGREE TO VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ALL SUCH DANGERS AND RISKS to which my child may be exposed as a result of participating in Leadership Camps.

As consideration for my child being allowed to participate in Leadership Camps, which is sponsored by Abilene Christian University (ACU), I HEREBY RELEASE, WAIVE, HOLD HARMLESS, AND INDEMNIFY ACU (and its Board of Trustees, officers, employees, agents, volunteers and students) from any and all liability, claims, demand, suits, costs, and charges, in connection with or arising out of my child's participation in Leadership Camps, including, but not limited to, any serious bodily injury, COVID-19, and other communicable diseases, medical care received following an injury, death, property damage, or loss of property sustained by myself or others, except for loss, harm, or injury caused by gross negligence or intentional misconduct by ACU (or its Board of Trustees, officers, employees, agents, volunteers or students).

I further understand and agree that this agreement is to be binding on my family, heirs, assigns, and personal representatives.

This agreement is governed by Texas law, and I understand that this agreement is intended to be as broad and inclusive as is permitted by Texas law. If any portion of this agreement is invalid, I agree that the remaining provisions shall continue to be in full force and effect.

I have read this agreement, I understand it, and I agree to be bound by all of its terms. I certify that I am the parent or legal guardian.

Please type your full name (parent/guardian) in lieu of a signature*

Deposit and Payment

The total cost to participate in MPulse is $450.

A $100 non-refundable deposit is required with your registration. You will be prompted to pay after submitting your registration. Campers who do not pay a deposit are not guaranteed a spot at camp.

Your remaining balance is due by May 1, 2026. If your balance is not paid in full by this date, your camper may lose their secured spot in camp and be moved to a waitlist. Waitlisted campers will be contacted and allowed into each camp (first-come-first-serve) as payments in full are made.

If you are registering more than one camper, you will pay their registration fees separately.

Payment Due

I plan to pay the entire $450 payment today

I plan to pay the $100 non-refundable deposit today and the remaining balance before May 1, 2026

Leadership Camps Full Balance

Leadership Camps Deposit