Bluewater Bible Camp Registration
Bluewater Bible Camp Registration
Name of Camper:  * 
Parents/Guardians:  * 
Your Email Address  * 
Address:  * 
City/State/Zip:  * 
Home Phone:  * 
Parent Cell Phone:  * 
Child Birthdate:  * 
Emergency Contact:  * 
Age:  * 
Gender:  * 
Grade this Fall:  * 
Camp  * 
If possible I would like to room with (please list only one):
Are you planning on using the bus service from Thief River Falls?  * 
Which church are you registering for camp through?
Does your child have any problems with any of the following:  * 
Please specifically list any others so that we can best minister to your child:
Activity restrictions/special needs:
Medications being taken (please send specific instructions):
Dietary restrictions:
Other health concerns:
Health Insurance Company:  * 
Insurance ID #:  * 
Group #:  * 
I have read the brochure and will obey the rules of Bluewater Covenant Bible Camp. By signing electronically you are agreeing to the contract and rules of the camp. Signature:  * 
Total $
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