EMBC 2018 Online Registration Form
Registration for EMBC summer youth camps. A signature will be required at registration. Please print the health release form and bring with you to registration.
Last Name
Your answer
First Name
Your answer
Male/Female
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Parents Name
Your answer
Parent's Address, if different than above
Your answer
Home Phone
Your answer
Work Phone
Your answer
Name of Church or Pastor
Your answer
Cabin Roommate request ( limit 2)
Your answer
Registration fees for camper
Offering
Optional
Your answer
Snacks
recommend $10-20
Your answer
Amount Due
including registration fees, offering, and snacks
Your answer
Camp Gear
Camp Gear will be sold separately. It will no longer be included in registration fees. The gear will be available to purchase at registration or throughout the week. Camp gear ranges from $12-35. Cash, check, and credit card payment options will be available.
Possible Discounts
Total Due
This amount can be paid online by following the link on the previous page or the amount can be mailed to: 1862 Rd 523 Bloomfield, MT 59315
Your answer
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Eastern Montana Bible Camp Terms and Conditions
I understand by filling out the online registration form and agreeing to EMBC’s terms and conditions, I give my camper permission to use the Jungle swing, zipline, pool, climbing wall, and archery equipment. I understand these activities will be used only with staff supervision. I allow my camper’s picture or comments to be used in promotional materials for Eastern Montana Bible Camp. I give my permission for emergency medical attention for my registered camper and I allow them to have over the counter medications such as Tylenol or tums. I understand if I do not agree to any of these terms or conditions, I must let EMBC know in writing at registration, prior to the week of camp.
Terms and Conditions
I agree to EMBC's terms and conditions
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