Red Rock Bible Camp Summer Camp 2008 Online Registration

Camper's First Name
Last
Gender
Birthday
Grade in fall 2008
Email
Address City/Town
Province/State Postal/Zip Code
                     
 
Camp Session
Bible Memory Program
Bible books may be memorized in any order.
Does the camper have a brother or sister attending camp?
 
 
Parent/Guardian 1 Home Phone Work Phone
Parent/Guardian 2 Home Phone Work Phone
Children's Agency Contact Work Phone
Cabin Mates Requested  (must be the same age or grade, 1 or 2 names only!)
   Every effort is made to honor requests for cabin mates at the discretion of the camp administration.
   However, the cabin mates your camper requests must also request your camper to be their cabin mate.
Coming to camp by
Person picking up camper
     
 
Church camper attends (if any) Town/City
Has attended Red Rock summer camp before? Last year attended
Personal Health # Health Registration #
Does the camper have any health, dietary, physical, emotional or behavioral needs which may require special attention while at camp?
   
   
 
I have read and hereby agree with the waivers and conditions