Day Camp Registration

August 1-5, 2016 •  Monday - Thursday 9:00 AM - 3:00 PM, Friday 9:00 AM - 12:00 PM
Campers:  Completed Kindergarten - 5th Grade  •  Junior Counselors:  Completed 6th Grade & Up

$30 registration fee for Crossways Day Camp Program for Campers that have completed grades Kindergarten through 5th.  $25 registration fee, if registered before June 30, 2015.  Maximum registration fee per family $45.  After signing up, a health form is required to be completed by each camper.

Please contact the church office with questions or for financial assistance via email churchoffice@bethlehem-star,org or (715) 359-6962.

2016 Day Camp Registration Form

*  Required
 
ATTENDEE ONE DETAILS
Camper / Junior Counselor Name:
 *
Gender:

 
*
Age:
Grade Completed:
T-Shirt Size:
 
ATTENDEE TWO DETAILS
Camper / Junior Counselor Name:
Gender:

Age:
Grade Completed:
T-Shirt Size:
 
ATTENDEE THREE DETAILS
Camper / Junior Counselor Name:
Gender:

Age:
Grade Completed:
T-Shirt Size:
 
ATTENDEE FOUR DETAILS
Camper / Junior Counselor Name:
Gender:

Age:
Grade Completed:
T-Shirt Size:
 
GENERAL INFO
Parent / Guardian Name:
 *
Home Congregation:
Town:
Home Address:
City:
State / Zip Code:
Email Address:
Home Phone:
Cell Phone:
Work Phone:
Additional Options: