Summer Camp Application Form - Bethany Birches Camp

Home

Summer Camp Application Form

We are looking forward to camping with you this summer!

Please fill out one registration for each camper.

Once you submit this form, you will receive a confirmation via email that Bethany Birches has received this information. To process your application, we must receive your nonrefundable deposit of $50 and you will be required to complete the Permission to Participate and Assumption of Risk form upon arrival.

If you prefer to fill in a paper form, please call the office at 802-672-5220, and we would be happy to mail the form to you. Once your registration and deposit are received, Bethany Birches will confirm your registration for the session.

Note: * indicates a required field.

Contact Information


Camper Name (first, last) *

Camper Gender *

Camper E-mail

Camper Birthday *	INSTRUCTIONS: There are arrows at the top of the calendar box. Each one navigates either the year or the month. Hold them down to skip over years/months!

Grade Entering *

Street Address *	We will send confirmation to this address

Box #

City *

State *

Zip Code *

Parent/Guardian Name *

Phone Number *

Email Address *	We will send confirmation to this address

Second Parent/Guardian Name

Send me confirmation via email only	Yes Check this box if you don't need confirmation via mail

Phone Number

Email Address

Additional Information


Does the camper attend church regularly?

Church Name (if yes)

Where Does The Camper Attend School?

What Other Camps Has Camper Attended/Is Attending?

First time at Bethany Birches Camp? *

New Campers


How Did You Hear About BBC? *

More Information

Which Camp Are You Attending?

Which Camp Are You Attending? (if coming to 2 sessions)

Which Camp Are You Attending? (if coming to 3 sessions)

FREE T-Shirt Offer!


I receive a free shirt because I am bringing this person to BBC

Free Week of Camp Offer!


I receive a free week of camp because these three people I invited are going to try BBC!

Referrals and Requests


This person invited me to try Bethany Birches Camp

Shelter Partner (limit 1: shelter friends must request each other)

Permision to Participate and Asumption of Risk


By checking this box, I indicate that I have read the above Permission to Participate and Assumption of Risk. I understand it and agree to be bound by its terms. *	Yes, I agree

Donations

Each summer, many families who want to send their children to camp just can’t. Will you help us Bridge the Gap ? Give to our Kids
to Camp Fund and pay to get these youth a valuable life experience. Tax Deductible – make your check payable to “Bethany Birches Camp – Kids to Camp”.

Cancelations and Refunds:

We can not refund your deposit. We can not make a refund for a camper leaving camp during any camp session for any reason. Sorry. If you cancel your session 3 weeks prior to the session start date, we can refund all but $50. After that point, we can only refund for reasons that limit participation out of your control (broken bone, sickness etc. – not poor planning).

Discounts Available!

Scholarships Available!

Kids to Camp Application Guidelines

Kids to Camp Request Form (scholarship)