CBF Camper Reservation Form 2018
Children's Camp 2018:

June 11th - June 15th
Grades 3 - 6 (Completed by this summer)
Cost: $230 due NO LATER THAN May 20th
Cost increases to $250.00 on May 20th
Deposit: $50 due now

For Parent Meetings and Dates to Remember contact Tiffany Parkin

Email address *
Important!!
After completing this form, please go to www.foundersbaptist.org and complete the FBC Medical Form AND Pineywoods Medical Form. Also, make sure you have filled out a Background Inquiry Form & the Counselor Test. Those should be turned into Tiffany P.
Thank you
Camper's Name *
Your answer
Male or Female *
Phone # *
Your answer
Address *
Your answer
City, State, 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 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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