DSL Camp 2018 Registration
Please answer all of these questions to register for camp.
Email address *
Camper Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Camper Age *
Your answer
Male or Female *
Phone Number *
Your answer
Text Number (For Emergency) *
Your answer
My Church Name *
Your answer
Please check all that apply *
Required
Agreement: I agree to follow all camp rules and understand that my wrongful action can result in being sent home.
Camper Agreement *
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 *
Captionless Image
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 *
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 *
Required
Add More Campers *
Heritage Baptist Church
PO Box 97
St. Augustine, FL 32085-0097
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