Founders Camper Reservation Form 2017
Children's Camp 2017:

June 12th - June 16th
Grades 3 - 6 (Completed by this summer)
Cost: $210 due NO LATER THAN May 21st
Cost increases to $235.00 after May 21st
Deposit: $50 due now
Parent Meetings and Dates to Remember:

$50.00 Camp Deposit Due now and is included in the total camp cost of $210.00

Founders Baptist Church, Parent Mandatory Meeting: May 21st @ 5:30 p.m. in the Fellowship Hall

Email address
Important!!
After completing this form, please go to http://foundersbaptist.org/event/children-camp-2017/ and complete the 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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