Baptist Youth Camp - Registration

Register by Mail

Please provide your contact information, all fields are required:

Camper's Name:

______________________

Parent/Guardian's Name:

______________________

Camper's Email:

______________________

Parent/Guardian's Email:

______________________

Home Church:

______________________

Home Phone:

______________________

Camper's Birthdate:

____/____/____

Work Phone:

______________________

Age at Camp:

____

Mailing Address:

______________________

Prior Years at BYC:

____

City, State:

______________________

Entering Grade:

____

Zip:

___________

Gender:

____

______________________

T-Shirt Size:

YM YL X M L XL XXL

Camp Session Dates:

______________________

Requested Bunk Mate:

______________________

Amount Due:

$____________

Comments or Questions (optional):

______________________________________________________________________________________

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