HAMMOND MILL BIBLE CAMP
pre-register by June 15 and receive a FREE camp photo

Please PRINT

I will attend: Childrens_____, Junior____, JR High____, SR Camp ____, (check one)

Boy_______________ Girl_______________ Age_____ Years attended camp_____

Name__________________________Date of Birth_______Grade Entering_____________

Address_____________________________________________

City_________________________________________State__________Zip__________

Home Phone________________________Work Phone___________________________

Emergency Number (other than home or work number)__________________________

Special Medical Needs/Allergies_____________________________________________

Home Church__________________Pastor's Name_________________________

Signature of Parent or Person you live with:__________________________________________

I will ride the bus to camp_____________ from camp______________

I wish to purchase a camp picture for $3.50 _____________

I wish to purchase a camp photo CD ($5) _______________

I wish to give an offering to missions of ________________

I wish to purchase a camp t-shirt ($10) _________________ Size___________________

Registration fee: _________ Less scholarship or church sponsorship______________

Total $_______________ Campers should not bring more than this amount unless they are a Sr. Camper.

Paid _________ Cash ___________ Check number __________ due ___________

Make checks payable to: Hammond Mill Bible Camp

Aurthorization to arrange for and/or consent to emergency medical treatment:

I _____________________________ , am the parent guardian having legal custody of minor child,__________________________. I authorize the Hammond Mill Bible Camp Board to arrange for and or consent to any necessary emergency medical treatment for my child while he / she is under the supervision of the camp as a camper, understanding that I will be notified as soon as possible of any emergency requiring medical treatment.

Dated the _______________ day of ________________, 2008.

 

Thank you for your intrest in Hammond Mill Bible Camps.  Sincerely, the HMBC Board

Please Return Promptly to :

HMBC P.O. Box 1328 West Plains, MO 65775