Calendar | Bethlehem Missionary Baptist Church

Summer Day Camp Signup Form

Thanksgiving Day

Nov 25 all-day

Celebrating the harvest & blessings received throughout the year.

Categories: Holidays

Christmas Eve

Dec 24 all-day

Categories: Holidays

Christmas Eve @ Christmas Eve

Dec 24 all-day

Categories: Holidays

Christmas

Dec 25 all-day

Categories: Holidays

Christmas Day

Dec 25 all-day

Categories: Holidays

New Year’s Day

Jan 1 all-day

Celebration of the incoming year.

Categories: Holidays

Martin Luther King, Jr. Day

Jan 15 all-day

American Civil Rights Leader

Categories: Holidays

Valentine’s Day

Feb 14 all-day

Celebration of Love & Romance

Categories: Holidays

St. Patrick’s Day

Mar 17 all-day

A patron saint of Ireland.

Categories: Holidays

Good Friday

Apr 2 all-day

The day Jesus was crucified leading to His resurrection and victory over death

Categories: Holidays

November 2024 – April 2025 Nov 2024 – Apr 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.