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Home Winter Camp Registration Form

Winter Camp Application Form

Name (first) (last)
Gender DOB
Grade School
Parent's Name(s) (first) (last)
Home Address    
Phone Number    
E-mail Address    
Does the Camper attend church regularly? (1/month or more)
If yes, what church?
First time at Bethany Birches Camp?
Did a friend refer you?
If yes, what is your friend’s name?
How would you like to receive confirmation:

 

SESSION GRADES DATE PRICE ATTENDING
Bobcat 3rd - 6th 1/15 - 1/17 $80 yes
Lynx 5th - 8th 2/12 - 2/14 $80 yes
Teen RoundUp December 9th - 12th 12/12 - 12/13 $35 yes
Teen RoundUp February 9th - 12th 2/27 - 2/28 $35 yes
Teen RoundUp April 9th - 12th 4/10 - 4/11 $35 yes
Winter Family Fun Day Entire Family 2/27/2010 $15/1 p;
$50/4+		 yes
# of ppl


Flock Together: Bring a friend who's never been to BBC before & you both receive a $5 camp store credit.