Camp Bethel (Fincastle, VA) Summer Camp Registration Form 2017
THANK YOU for choosing Summer Camp at Camp Bethel in Fincastle, VA! Our programs are open to everyone regardless of race, color, national origin, gender or disability where accommodations can match needs.
This is a LONG form; be sure to complete it thoroughly. SCROLL THIS FORM DOWN AS YOU GO, and be sure to click the SUBMIT button at the bottom of the form! Items with a red * asterisk are REQUIRED items.
Camper's LAST name
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Your answer
Camper's FIRST name
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Your answer
Camper's Middle Initial
Your answer
Name Camper prefers to be called
Your answer
Gender - male or female
REQUIRED QUESTION.
Grade (fall 2017) or age-grade equivalent
REQUIRED QUESTION. Generally, Campers are grouped with their same age-grade equivalent, (as well as their chosen cabin mate).
Cabin mate(s) requested (or Unit Friend(s) for friends of different genders)
Units are generally grouped by same age/grade and cabins are grouped by gender plus age/grade. Friends attending the same week-long Camp program may choose different "Add-On Activities" (ex: Tubing; Equestrian; Horseback; etc) and still be housed/grouped together.
Your answer
Camper birth date
REQUIRED QUESTION: month / day / year; example: 03/09/1999
Your answer
Age at camp
REQUIRED QUESTION. When your child comes to camp, what will her/his age be?
Mailing address
REQUIRED QUESTION: Street or PO Box. Thank you for using correct capitalization.
Your answer
City
REQUIRED QUESTION. Thank you for using correct capitalization.
Your answer
State
REQUIRED QUESTION. Note that Virginia is the first choice.
Zip
REQUIRED QUESTION. zip code
Your answer
Full Name of custodial Parent(s)/Guardian(s) who is the primary contact for this camper.
REQUIRED QUESTION. This is the parent/guardian(s) with whom the camper has primary residence and to whom we send camper information in care of. Example: Jane and John Doe
Your answer
Family e-mail
This is where we will e-mail your confirmation packet and camp preparation information. In emergency, we will also send important information by e-mail to this address. (We'll CALL you in case of extreme emergency).
Your answer
Main phone/Cell phone of custodial Parent/Guardian
include area code, (ex: 540-555-1234)
Your answer
Work phone of custodial Parent/Guardian
include area code, (ex: 540-555-1234)
Your answer
Summer Camp Program Choice
From the pull down menus, select your DATES and your PROGRAM TITLE. Notes: Parent-Child Overnight Camp requires answering two additional questions.
During Which Dates does your chosen program occur? REQUIRED QUESTION.
(Forget the exact dates of your chosen program? Open another window/tab in your browser and check for an e-mail from PayPal confirming your payment AND the Camp Program Title and Dates for which you paid.)
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