Calendar | Bethlehem Missionary Baptist Church

Summer Day Camp Signup Form

Executive Ministry Meeting

Dec 2 @ 6:30 pm

Categories: Special Events

Sip & Study

Dec 6 @ 7:00 pm

Virtual Study

Categories: Special Events

VBS @ Bethlehem Missionary Baptist Church

Dec 8 @ 6:15 pm – 8:00 pm

Categories: Special Events

Sip & Study

Jan 3 @ 7:00 pm

Virtual Study

Categories: Special Events

Executive Ministry Meeting

Jan 6 @ 6:30 pm

Categories: Special Events

VBS @ Bethlehem Missionary Baptist Church

Jan 12 @ 6:15 pm – 8:00 pm

Categories: Special Events

Inauguration Day

Jan 20 all-day

Inauguration of the President of the United States.

Categories: Special Events

Executive Ministry Meeting

Feb 3 @ 6:30 pm

Categories: Special Events

Sip & Study

Feb 7 @ 7:00 pm

Virtual Study

Categories: Special Events

VBS @ Bethlehem Missionary Baptist Church

Feb 9 @ 6:15 pm – 8:00 pm

Categories: Special Events

December 2024 – February 2025 Dec 2024 – Feb 2025

Click the button below to download a PDF version of our Summer Day Camp signup form or complete the online form below:

Click here to download a PDF version of the form

Summer Day Camp Form

Child's Name:

Child's Name:

First

First

Middle

Middle

Last

Last

Parent(s) Name:

Parent(s) Name:

First

First

Middle

Middle

Last

Last

Address:

Home Phone Number:

Cell Number:

Place of Employment:

Work Number:

Church Affiliation:

Select One:

Male

Female

Date of Birth:

MM/DD/YYYY

Date of Enrollment:

MM/DD/YYYY

What is the age of the above child listed?:

Registration Fee:

Registration fee to be paid at church office, fee is $25 per child

Name of last school attended:

School address:

School phone number:

Emergency contact person(s) other than parent:

Name of Physician:

Physician's Phone Number:

Choice of Hospital:

Insurance Company:

This child will be released only into the care of the person(s) name appearing on this application, and or the following person(s):

This child will be released only into the care of the person(s) name appearing on this application, and or the following person(s):

First

First

Last

Last

Name

Name

First

First

Last

Last

By clicking the checkbox you agree to submitting this information to Bethlehem Missionary Baptist Church and verify that the above information is correct

I agree and verify the above information is correct

If you are human, leave this field blank.