Liberty Hill Baptist Church Pastor Mark L. Johnson Sr.

LHBC Summer Camp Video

Great News! We are now enrolling 4 year olds!

"More Than A Summer Camp - It's A Summer Experience!"

Liberty Hill Online Summer Camp Registration Form:

Camper's Name:

Prefix

First

Last

Suffix

Camper's Age

Parent/Guardian's Name

Prefix

First

Last

Suffix

Camper's Address:

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Camper's Phone:

###

####

Parent/Guardian's
Work Phone:

###

####

T-Shirt Size

Child S

Child M

Child L

Helpful Camper information:
(allergies,etc.)

Emergency Contact:

Prefix

First

Last

Suffix

Relation to Camper:

Emergency Phone:

###

####

List weeks NOT attending camp:

Code of Conduct Signature: *

In order to maintain a safe and peaceful camp environment we require parents and campers to read and comprehend the importance of abiding by the following code of conduct.

I will follow the camp schedule. I will bring only the listed items to camp (no weapons electronic items, etc.). I will respect all directors, camp counselors, staff, and other campers by not using inappropriate language, name calling, or fighting.I will follow all safety rules set forth by LHBC camp staff.

I agree to to help my child abide by this code of conduct.

A $25.00 registration fee will be collected to cover cost of T-Shirts and supplies.

EMF HTML Form

Report Abuse