Register to Beacon Bible Camp

*Note: This is for payment with credit card only. Payment by check or other methods must be completed by downloading the registration form here and mailing it in. Thanks.
Camp Session *


Camper First Name *
Camper Last Name *
Sex *
Date of Birth *
Email *
Phone Number * (no spaces)
Address1
Address2
City *
Province *
Postal Code * (no spaces)
School
Grade
Choice of Cabin Mates
Health Card Number * (no spaces)
Can Tylenol be given? * Yes No
Father's Name
Father's Work Phone
Mother's Name
Mother's Work Phone
Church or Christian Gathering
Will the Camper be taking
the bus to Camp? *		 Yes No Undecided
Will the Camper be taking
the bus from Camp? *		 Yes No Undecided
Additional Notes
Do you accept the
Code Of Conduct *		 Yes No

-- Once you click "Register", you will be transfered to a secure website to process your credit/debit transaction.
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