Online Camp Registration
Please complete a separate registration for each camper

Name:
Address/City/State/Zip:

Date of Birth:

Gender:
- Select One - Male Female
Grade In September:
- Select One - 4th 5th 6th 7th 8th 9th (Freshman) 10th (Sophomore) 11th (Junior) 12th (Senior) Just Entering College
Tee Shirt Size:
- Select One - Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large


Camper Agreement
I affirm that I will abide by and obey the rules and guidelines for camp as set forth by the actual camp organization and those established by Berean Bible Church.

I Agree

Name:

Address/City/State/Zip:

Home Phone:

Mobile/Work Phone:

Parent/Guardian Agreement
The above named person has my permission to attend Berean Bible Church Summer Camp. Berean Bible Church (BBC) and attendees agree to indemnify and hold harmless Greenwood Lake Camp and Retreat Center, its Board of Directors, agents, and employees from all damages, judgments, expenses, attorney's fees and claims arising out of personal injury, death, or property damage sustained in whole or in part by any or all persons whatsoever as a result or arising out of, any act or omission of BBC or attendee of BBC, or caused by or resulting from any activity or program being conducted by BBC, for use of Greenwood Lake Camp and Retreat Center facilities, or cancellation/closure due to natural disaster and/or emergency. Photos taken during the week may be used by Berean Bible Church for promotional purposes.

I Agree

Fee Info:
- Total Cost: $225 for First Child; $215 for Second; $205 for Third.
- Registration fee of $25 is required (Non-refundable after July 11)
- Balance due at camp check-in time.
- Deadline for registration is July 11.

Payment of Fees:
Once this form is submitted below, you will be directed to a confirmation page with a link to pay the $25.00 registration fee.

By clicking the submit button below you will forward your registration to Berean Bible Church where it will be processed. Please download or contact the church office for medical authorization and permission forms which must be submitted by camp check-in.