BBC Kids winter retreat Registration

BBC Kids Winter Retreat

Camper Name

Gender

Birthday

Age During Camp

Phone Number

Parent/Gaurdian Name

Street Address

City

State

Postal / Zip code

Email

Emergency Contact

Emergency Contact Phone Number

Emergency Contact Relationship

Requested Cabinmates

Select an item ($)

Winter Retreat - $75

I will pay in person (Must be paid prior to camp)

Worship Service 10:00 AM

4849 South 6th Street

Klamath Falls, OR 97603

541-883-2289