2019 Summer Bible Camp Registration Form
The 2019 Summer Bible Camp for the churches in DC, Dunn Loring, and Fairfax will be held this year during the week of June 24-28, 2019. This is a time for children between pre-school age (must turn 3 by October 1, 2019) and elementary school ages (K-6). We will have a joyful time of singing, lessons, crafts, and activities as we cover the second half of the Bible story topic, The 8 Great Men in Genesis (Abraham, Isaac, Jacob, and Joseph).
Please note this is NOT A DROP-OFF CAMP. A responsible adult will need to attend with your child/children at all times. Neighborhood/school friends are welcome to come if invited by an adult participating with her/his own children that agrees to assume responsibility.
WHEN: Monday, June 24 - Friday, June 28
WHERE: Dunn Loring Meeting Hall, 2317 Morgan Lane, Dunn Loring, VA 22027
TIME: 9:30AM - 12PM
OPTIONAL: Children can bring a sack lunch from home and stay for outdoor play until 1:30PM. (VERY IMPORTANT: Parents MUST BE PRESENT and MUST SUPERVISE THEIR CHILDREN at all times if children stay after 12PM.)
REGISTRATION CLOSING DATE: May 19, 2019. Please register and pay online as soon as possible so we have an adequate headcount to purchase supplies.
REGISTRATION/SUPPLY FEE: $40/child (includes t-shirt, crafts, snacks, CD, and Friday lunch). Fee is the same for both full-time and part-time. Please pay electronically via PayPal to
after you submit the registration form, instructions are below. (Financial assistance is available if needed, please fellowship if this is the case. This should not be a reason why a child cannot participate.)
If you have any questions, please contact Abi Suh (Fairfax), Mary Yeow (Dunn Loring), or Laura Miller (DC), or leave a question in the comment box below. We are looking forward to another wonderful camp this year! May our children love and honor God from the days of their youth!
PAYPAL PAYMENT INSTRUCTIONS:
1. Login or create an account at
2. Select "Send & Request"
3. Select "Send to friends or family in the US" (Use a bank account not credit card)
4. Type in
as the recipient, and click "Next"
5. Type in dollar amount. In "Add a note," list the names of the children covered.
6. Press "Continue" to complete the payment.
Child Information (one per child)
Child's Last Name
Child's First Name
Date of Birth (must turn 3 by October 1, 2019) - enter MM/DD/YY
Grade entering in 2019-20 School Year:
Please Specify Size from List.
Unisex Youth XS (2-4)
Unisex Youth S (5-8)
Unisex Youth M (9-10)
Unisex Youth L (11-12)
Unisex Youth XL (13-14)
Girls Youth XS (2-4)
Girls Youth S (5)
Girls Youth M (6-7)
Girls Youth L (8-10)
Girls Youth XL (11-12)
Does your child have any medical conditions or food allergies?
If yes, please explain in box below. If no, simply leave blank.
Dates Planning to Attend
Full Week, 6/24 - 6/28
Monday, 6/24 (if part-time)
Tuesday, 6/25 (if part-time)
Wednesday, 6/26 (if part-time)
Thursday, 6/27 (if part-time)
Friday, 6/28 (if part-time)
Parent/Guardian Information (Fill out this section ONLY ONCE. SKIP if registering additional children.)
Name of Parent(s)/Guardian(s)
Include names of both parents
Phone number(s) of primary contact
Email address(es) of primary contact
Name of Adult Attending with Child
Please note, the adult attending the Bible Camp with the child is responsible for the child at all times.
Phone and Email of Adult Attending (if different from above)
For adult attending: I understand that I will be asked to participate and am willing to serve on (check all that apply):
For adult attending: I prefer to serve on level (check all that apply):
Pre-school (Little Lambs)
K - 3
4 - 6
If you plan to stay for the Friday corporate lunch, please RSVP with the number attending:
# of Children
# of Adults
# of Children
# of Adults
Any questions or comments? Type in below (optional):
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