Crisis Management Workshop Registration
Thank you for registering for this Workshop! Our day on November 12 begins at 9:00am (registration & coffee 8:15-9:00), includes lunch at 12:45, and ends by 4:30pm. After submitting your Registration Form, Camp Bethel will contact you via e-mail. Add "CampBethelOffice@gmail.com" to your contacts so that we can send you an e-mail with links to important information about our day together.
Scroll down within the form as you go and click SUBMIT at the end of the form.
Register today, pay LATER. After submitting your registration, you can pay NOW via PayPal, or by mailing/bringing payment to "Camp Bethel Workshop", 328 Bethel Road, Fincastle, VA 24090.
Email address *
Your First Name *
Thank you for using correct capitalization throughout this form.
Your answer
Your Last Name *
Thank you for using correct capitalization throughout this form.
Your answer
Your Mailing Address *
Include Street or PO Box #, City, State and Zip. Thank you for using correct capitalization throughout this form.
Your answer
Best Phone Number to reach you if needed *
Probably your cell number, because we will use this number to communicate changes and/or important updates to our time together.
Your answer
Additional persons (if any) from your camp/organization who you are registering.
List their first and last names, and please separate each name with a comma.
Your answer
Dietary needs or restrictions for you or anyone in your group who is attending and eating lunch.
Provide detailed information by name for any needs. (Ex: John Smith is severely (life-threatening) allergic to peanuts. Jane Doe is vegan.) Lunch menu is Quesadillas with or without chicken, Spanish rice, black beans, cheese, chips and salsa, plus Tossed Salad (mixed greens, cucumber, tomato, dressings), dessert, lemonade, water, coffee, teas. Includes fruit, bread, peanut butter & jelly, toaster.
Your answer
How are you paying for your attendance? *
Check all that apply.
Required
Do you request on-site overnight Camping or Lodging? *
CABINS INCLUDE: DALEVILLE, FRIENDSHIP HAVEN, PLEASANT VIEW: Year-round, one-room cabins. each sleeps 14 in bunks (we will house 4 persons per cabin). Heated for winter use. Electric outlets, window AC units & attic fans. Next-door to the Deer Field Center Bathhouse, Gym and Conference Room. Bring your own linens and sleeping bag or sheets & blankets. Bunks have mattresses.
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