2008 CAMP REGISTRATION FORM

Fields with an * are required.

PARENT'S INFORMATION
 
* Parent's First Name
* Parent's Last Name
* Parent's Email Address

* Re-type Parent's Email Address

       
CAMPER'S INFORMATION
 
* Camper's First Name
* Camper's Last Name
* Camper's Address
* Camper's City
* Camper's State
* Camper's Zip
* Camper's Home Phone
Emergency Contact Number:
* Camper's Birthdate
* Camper's School Grade for Fall 2008
Camper's Email Address
* Camper's Gender
Home Congregation
       
CAMP BLUE HAVEN INFORMATION
 
* Did you Attend Last Year?
If so, which session?
* Which Session do you want to attend this year?
 
List up to 3 Campers you want in your Cabin:
       
SPIRITUAL INFORMATION
 
* Has this camper been baptized?
 
* If this camper is not a member of Christ's church and desires to be baptized while at camp, does he/she have your permission to do so?
 
     
Comments
   
   
 
1020 Austin Ave., Brownwood, TX 76801
TX: (325) 646-2728
Copyright 2006, Camp Blue Haven. All Rights Reserved.