Camp Survey / 2027
BETHLEHEM BAPTIST CHURCH - TERRELL, TX
Camp 2027 | "Early" June 2027
Youth Registration (Ages 10-17)
Parents / Gardians please list the children of
"your"
family/household
that you plan to attend the Camp
Name of Child 1
First / Last
Age
Gender
Please Select
Male
Female
Name of Child 2
First / Last
Age
Gender
Please Select
Male
Female
Name of Child 3
First / Last
Age
Gender
Please Select
Male
Female
Name of Child 4
First / Last
Age
Gender
Please Select
Male
Female
Note: Please start another registration form if there will be more than 4 children in your
household attending.
Parent
*
First / Last
Home / Cell
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email: Parent
*
example@example.com
Submit
Should be Empty: