Day Camp 2020
Thank you for choosing Camp Bethel for your child(ren)!

For more details about Day Camp, including fees, please go to (http://www.campbethel.com/day-camp.html).

Please complete a separate registration form for each camper.
Email *
Today's Date *
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Session(s) Attending *
Required
Camper's Last Name *
Camper's First Name *
Camper's Medical/Dietary Needs
Camper's Date of Birth *
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Camper's Grade Level as of June *
Camper's Gender *
Camper's Address *
Camper's City *
Camper's State *
Camper's Zip *
Parent/Guardian Name(s) *
Parent/Guardian's Full Address (if different)
Parent/Guardian's Home Phone
Parent/Guardian's Cell Phone
Parent/Guardian's Work Phone
Parent/Guardian Email *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of The Bible Mission of Southwest Virginia.