REGISTER FOR CAMP
Camp Attending
Work camp
Men's Round Up
Women's Conference
AB Girls
Senior High Camp
Junior High camp
Junior Camp
Family Camp
Golf / Scrapbooking Camp
Name
Phone
Cell Phone
Email
Address
City
State
Zipcode
Home Church
Age
Birthdate
Grade Entering
Gender
Nearest Friend or Relative
Phone
Cell Phone
Doctor's Name
Phone
Insurance Company
Policy or Group #
Allergies
Medication
Medication Allergies
Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Additional Information
Please fill out all fields.
Please fill out a form for each camp attending and be sure you or your parent or guardian (if a minor) signs a liability form either at your church or at Camp Bentley.
