CBF Counselor 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 May 20th
Deposit: $50 due now

Dates to Remember:
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. Also, make sure you have filled out a Background Inquiry Form & the Counselor Test. Those should be turned into Tiffany.
Thank you
Counselor's Name
Your answer
Male or Female *
Phone # *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
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
Father's Name (For People Under 18)
Your answer
Father's Home Phone
Your answer
Father's Work Phone
Your answer
Father's Cell Phone
Your answer
Father's Email Address
Your answer
Mother's Name (For People Under 18)
Your answer
Mother's Home Phone
Your answer
Mother's Work Phone
Your answer
Mother's Cell Phone
Your answer
Mother's Email Address
Your answer
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