BIG HOUSE Individual Registration Form 2019 (July 24-28)
Please fill out this form in it's entirety. Please submit a copy of your insurance card to your church coordinator by April 15th
Camper Name *
Your answer
Camper Email Address *
Your answer
I am attending with the following church: *
I am a *
Birthdate (month, date, year) *
Your answer
I am a *
Participant Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Participant Phone Number *
Your answer
Have you attended BIG HOUSE Before? If so, how many years? *
Your answer
Preferred T-shirt Size (adult size) *
List any family members attending BIG HOUSE (at this camp)
Your answer
Grade Completed (if participating as a youth)
Vehicle you are driving at camp (all adults over 21 must drive their own vehicle)
Your answer
Number of seatbelts (including driver)
Your answer
I would like to serve as: (adults please respond)
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