Grand River Bible Camper's
Registration Form

Please check the box you plan on Registering for:
Camp Reunion in April (Date not set yet):
Regular Bible Camp (Aug. 1-6, 1999):

Please fill in all of the Questions below:
Full Name:
Date of Birth:
Age:
Gender: Male Female
Street Address:
City:
State:
Zip:

Your Email Address:

Parents/Guardians Name:
Telephone # (Day):
Telephone # (Night):

Who to Contact in Case of Emergency:
Phone No.

Special Health Conditions, Medications or Instructions:

Family Physician:
Address:
Phone No.

Where do you attend Worship?
Are you a Member? Yes No

Comments:

1. When done with filling out form please click submit button to send application form.
2. Then click Camper's Signature Page button below.
3. Once you get to the Camper's Signature Page, print up the signature form and fill out and send by regular mail.

 

Camper's Signature Page