2023 Dwell Camp Registration Form

Student Information

Name:*

First NameLast Name

Birth Date:*

MonthDayYear

Current Grade:*

Age:*

Are you a Church Member or Sunday School Member of FBCMP?*

YesNo

If you are a VISITOR, what church do you usually attend?

Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student's Home Number:

Student's Cell Number:*

Student's E-mail:

example@example.com

T-Shirt Size (Adult sizes):*

Can You SWIM?*

YesNo

Level:*

BeginnerOKGood

Parent Information

Dad's Name:*

First NameLast Name

Cell Number:*

Email:*

example@example.com

Mom's Name:*

First NameLast Name

Cell Number:*

Email:*

example@example.com

PLEASE READ THIS CAREFULLY BEFORE SIGNING AND REGISTERING FOR THE TRIP:

I understand that I am committing to a very important and life changing event. I understand that my $50 registration deposit becomes NON-Refundable after March 31st. If I have to cancel my reservation FOR ANY REASON AFTER June 1st, I will be held accountable for paying ALL expenses already incurred by the church. The total cost for each student is $360 (including deposits). As students take part in fundraising opportunities, the price will go down and you will be updated with a new remaining balance.

Date:*

Date

Student's Signature:*

Clear

Parent Signature:*

Clear

$50 Registration Deposit due at time of sign up. You will see a link to pay online after you click SUBMIT.

2023 Dwell Camps at Highland Lakes in Spicewood, TX

Registration Form