Contact Information
First Name:
Last Name:
Spouse Name:
Street Address:
Address (cont.)
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Cell Phone:
Email Address:
Date of Arrival:
Accommodation
Dormitory (recommended for youth, min. age 13):
If possible, I'd like to stay in the same dorm as,
 
 
Area Motel:
Tent (Family, or group, 18yrs or older, with adult):
RV:
Other:
If registering as an individual, give your age:
 
Emergency Contact
First Name:
Last Name:
Phone Number:

List children who will be attending
Gender
Name
Male

Female
Age
w/parent
Dorm
Hotel
Tent
Extra Information
I will need Meal Tickets and will pay for them at registration.
I will need airport shuttle from Dayton, OH or Ft. Wayne, IN. Must submit itinerary.
     

Registration questions, please call: (419) 221-0085
Email Camp Registration Questions to: campregistration@bcfellowship.org

 
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