Camp Blue Haven Registration

 

 

2014 CAMP REGISTRATION FORM

 
PARENT'S INFORMATION
 
* Parent's
First Name
* Parent's
Last Name
* Parent's
Email Address

* Re-type Parent's
Email Address

       
 
CAMPER'S INFORMATION
 
* Camper's
First Name
* Camper's
Last Name
* Address
* City
State
* Zip
* Home Phone
* Emergency
Contact Number:
Email Address
Birthdate
       
* Gender
   
   
* Grade for
Fall 2014
       
       
CAMP BLUE HAVEN INFORMATION
 
LAST YEAR - 2013    
* Did you Attend in 2013?
   

 

If YES,
which Session? None

   
THIS YEAR - 2014
* Which Session do you want in 2014?
 
 
List up to
3 Campers
you want
in your Cabin:
       
 
SPIRITUAL INFORMATION
 
* Name of Home Congregation
You / Your Family Attends
   
* Does this camper have parental
permission to be baptized while at camp?
     
Comments
   
   
 
 
1020 Austin Ave., Brownwood, TX 76801
TX: (325) 261-0224
Copyright 2014, Camp Blue Haven. All Rights Reserved.