Registration Camper's Name *Birthdate *Age *Select Camp *Youth CampTeen CampStreet Address *City *State *ZIP Code *Parent/GuardianName *Email Address *Phone *Work PhoneEmergency ContactName *Phone *Family DoctorName *Phone *Additional InformationSponsoring ChurchChurch Camper AttendsPastor's NameI have read and agree to abide by the rules set forth by Bethel United Baptist Bible Camp.Send Message
