Built for a Purpose 2023
July 10-15, 5:00pm - 8:30pm | Please fill out this form and click submit.
PARENT INFORMATION
Name
*
Email
*
This address will receive a confirmation email
Address
*
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Phone
*
Church Attends (if applicable)
CAMPER INFORMATION
Camper's Name:
*
Current Grade:
*
Please select all that apply.
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
School Attended
*
T-Shirt Size
*
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Any allergies, medical conditions, or special needs you would like for us to be aware of?
Please Note: If you camper has a food allergy, consider talking with the camp director to develop an allergy plan and bring food items from home when necessary. We cannot accomodate menu changes.
EMERGENCY CONTACT INFORMATION
Name of Emergency Contact:
*
Phone
*
Relationship to camper
*
CAMP POLICIES
I give permission for BFAP to use my child's photograph for program promotional purposes as deemed useful by the director. Children's names will never be released.
*
Please select all that apply.
Yes
No
Payment of tuition is due at the time of registration. Payment in full secures my child's spot. No refunds are given three weeks prior to the start of camp. Registrations are non-transferable.
*
Please select all that apply.
I understand the above policy.
How did you hear about Built for a Purpose?
*
Please select all that apply.
Social Media
Personal Invitation
Other
Payment
$135
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
July 10-15, 5:00pm - 8:30pm
Please fill out this form and click submit.
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