Church Camp Registration

* Indicates required field

Family *

Parent/Guardian 1 *

First

Last

Parent/Guardian 2 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Family Email *

Phone Number *

Campers:

Camper 1 *

Camper 2 *

Camper 3 *

Camper 4 *

Camper 5 *

Camper 6 *

Emergency Contact:

Name *

First

Last

Phone Number *

Allergies or Special needs

Comment *

There will be photos taken at VBS, it is MBCC’s policy to respect the wishes of parents regarding photos or videos that include their children. Please tell us below if there are any ways in which you do not wish for these photos or videos to be used.

Choose One *

No restrictions The following restrictions:

Restrictions *

Payment

Once you hit submit, you will be taken to our payment page. Please follow the directs to pay. Thank you!
Costs: Family $500
Individuals: $200
Children 14 and under: $100
In the drop-down list for one-time donations, select "Church Camp" and fill in the appropriate amount based on number of guests or the family rate. Please contact Sylvia Miller Sylvia.miller@mbccucc.org for any questions.

Submit