Backyard Missions Registration Form

Thanks for your interest in Victory Lane Camp! Please complete this form and send your registration fee of $100 within two weeks of submitting this form. This will guarantee your space at camp. After we receive your fee, a Victory Lane Camp representative will guide you through the pre-camp process. Please allow three business days for the initial contact from a VLC representative.

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Husband's Information

Wife's Information

Please list children in order of oldest to youngest.

Address Information


Do you regularly interact with any other families who have children with disabilities?

Do you attend a church regularly?

Does your church have a ministry for special needs children?

Are there any other special needs families within your church?

Additional Questions

Each family coming to Victory Lane Camp will be asked to complete a nine-session online 321Go Family training course. This course will help prepare you for serving and building community around families of children with disabilities. These training courses are for the whole family and offer short kids' moments that will help younger children relate to the training. We also ask that participants fill out an online personality profile for every family member over the age of 18 prior to camp. The questionnaire is 24 questions long and will be filled out online. Are you willing to complete this prior to your time at camp?

It is essential for your entire family to fully participate in the entire camp program. Are you able to commit everyone to staying through the duration of camp?