Summer Camps 2025 Registration Form

Summer Camp Student Registration Form

Fill out the form carefully for registration.
ALL camps will held at First Presbyterian Church (345 Market Street Bloomsburg)

Please see your confirmation email for further instructions and guidelines.
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Parent/Guardian

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
By signing below you permit BTE the right to use images of you (and family members) and/or your likeness in any future promotional materials. In addition, your signature also indicates your agreement to our COVID protocols. (Link available on our website. Image of rules and conditions will be sent with your registration form.) *

Clear

PAYMENT PAGE

This payment page will direct you to PayPal. You do not need an account to complete your transaction. Choose "Pay with Debit or Credit Card" when prompted. If a refund is requested, it will be honored only if the request is made one week before the start of the camp.
Subtotal
Coupon Code
Only use if a coupon code is given!
Coupon Discount
Total:

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USDSummer Camps 2023
Refund Policy: We will accept requests for refunds up to one week before the start of a class and will be issued less a PayPal processing fee. If we cancel a class, refunds will be issued in full or balances can applied to future classes.
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Summer Camp Student Registration Form