FBC Camper Reservation Form 2018
Children's Camp 2018:

June 11th - June 15th
Grades 3 - 6 (Completed by this summer)
Cost: $220 due NO LATER THAN May 20th
Cost increases to $240.00 May 20th
Deposit: $50 due now

Parent Meetings and Dates to Remember:

Camp Kick-off Meeting: March 4th @ 5:30 p.m. ($50.00 Camp Deposit & Online Registration is Due March 4th)

Garage Sale Fundraiser: March 24th from 8:00 a.m. - 1:00 p.m.

Parent Mandatory Meeting: May 20th @ 5:30 p.m. in the Fellowship Hall

Mandatory Counselor Meeting: Tuesday, May 15th @ 7:00 p.m. in the Fellowship Hall

Work Day: May 30th, to put cabin stuff together

Email address *
Important!!
After completing this form, please go to www.foundersbaptist.org and complete the FBC Medical Form AND Pineywoods Medical Form.
Thank you
Camper's Name *
Your answer
Male or Female *
Phone *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade *
School
Your answer
T-Shirt Size *
Christian?
If yes, date
MM
/
DD
/
YYYY
Church Member? *
If yes, church name
Your answer
Active in what church programs?
Your answer
Emergency Contacts
Please fill out as much information as possible.
Father's Name
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
Mother's Name
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
Other Contact's Name
Your answer
Relationship to Camper
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
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