DSL Camp 2018 Registration
Please answer all of these questions to register for camp.
* Required
Email address
*
Your email
Camper Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP
*
Your answer
Camper Age
*
Your answer
Male or Female
*
Male
Female
Phone Number
*
Your answer
Text Number (For Emergency)
*
Your answer
My Church Name
*
Your answer
Please check all that apply
*
Deaf
Hearing
Age 18 or Above
College Student
Adult
Counselor
Required
Agreement: I agree to follow all camp rules and understand that my wrongful action can result in being sent home.
Camper Agreement
*
Choose
Yes, I Agree
No, I Do NOT Agree
Payment
Choose ONE way to pay:
1. At DSLCamp.com website --> Click button at upper right ----->
2. At my church
3. Check to Heritage Baptist Church (address below)
Medical Information
I will send Medical Information to Heritage Baptist Church by postal mail.
Agree Medical Information
*
Yes
Required
Legal Guardian (Under 18)
I understand that parent or legal guardian must sign consent form and send to Heritage Baptist Church by postal mail. Please check even if you are over 18.
Agree Guardian Signature
*
Yes
Required
Semi-private Room ($50 Deposit Required)
I want a semi-private room I must pay a $50 deposit and contact Steve Houghton.
Semi-private Room
*
Yes
No
Required
Add More Campers
*
Yes
No
Heritage Baptist Church
PO Box 97
St. Augustine, FL 32085-0097
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