Camp Bethel (Fincastle, VA) Summer Camp Registration Form 2024
THANK YOU for choosing Summer Camp at Camp Bethel in Fincastle, VA!  Our programs are open to everyone regardless of race, color, national origin, gender, or disability where accommodations can match needs.

This is our NEW shortened Registration Form with fewer initial questions to complete. A more detailed follow-up "Camper Health and Info Form" will follow, and which is due 1 month before your camper's selected week. We will send you a confirmation e-mail in March, April or May with a link to your Confirmation Packet, your on-line Health Form, if you owe any balance due, and your pre-camp Health Screening form. Add "CampBethelOffice@gmail.com" to your contacts so you will receive our email.

The final section/item on this Registration Form is your "Parent/Guardian and Camper Agreement" which includes our Safe Behavior Requirement and your Parent/Guardian Authorizations for Attendance. (Consider: Is a Camp Bethel program a good fit for your camper? Your camper will be spend all day each day with other children/youth and their counselors. We stay together with our group during our entire time at Camp Bethel. (Unmanageable or unsafe behavior does not fit and cannot be tolerated.) By requesting enrollment into Camp Bethel programs, you and your camper agree and understand that appropriate/safe behavior is required. See www.CampBethelVirginia.org/ParentInfo for details.

This form works best on a laptop or desktop. If using a phone, please use correct capitalization, and be careful with tricky pull-down menus.

SCROLL DOWN ON THIS FORM AS YOU GO, and be sure to click the SUBMIT button at the bottom of the form!  Items with a red * asterisk are REQUIRED items.
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Email *
Camper's FIRST name *
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Camper's LAST name *
REQUIRED. Thank you for using correct capitalization for names and titles throughout this registration form.
Name Camper prefers to be called
Only if it's different from their first name.
Gender - male or female *
REQUIRED QUESTION. Our facilities for lodging and restrooms are currently gender binary, and there is no individual lodging space for minors. Contact Program Coordinator, Kathleen Nettnin, if you have questions.
Camper Date of Birth *
REQUIRED QUESTION:  month / day / year; MM/DD/YYYY; examples: 3/9/2009  or  12/18/2012
MM
/
DD
/
YYYY
Age at camp *
REQUIRED QUESTION.  When your child arrives at camp, what will her/his age be?
Grade (fall 2024) or age-grade equivalent *
REQUIRED QUESTION.  In addition to their chosen cabin mate, campers are generally grouped with their same age-grade equivalent.
Cabin mate(s) requested or Unit Friend(s) for friends of different genders
Your chosen friend MUST be registered for the same week and program. Units are generally grouped by same age/grade and cabins are grouped by gender plus age/grade, (as well as your chosen cabin mate/unit friend).
Parent/Guardian Mailing Address *
REQUIRED QUESTION:  Number and Street, or PO Box (including apt #).  Thank you for using correct capitalization.
City *
REQUIRED QUESTION.  Thank you for using correct capitalization.
State (2-letter postal abbreviation) *
REQUIRED QUESTION.  Please use the correct capitalized 2-letter postal abbreviation for your state. (Example: VA)
Zip Code *
REQUIRED QUESTION.  Please enter your 5-digit zip code.
FIRST NAME(s) of custodial Parent(s)/Guardian(s) who are the primary contacts for this camper. *
REQUIRED QUESTION.  These are the parent(s)/guardian(s) with whom the camper has primary residence and to whom we send camper information in care of.  Example: Jane and John
LAST NAME(s) of custodial Parent(s)/Guardian(s) who are the primary contacts for this camper. *
REQUIRED QUESTION.  These are the parent(s)/guardian(s) with whom the camper has primary residence and to whom we send camper information in care of.  Example: Doe
Parent/Guardian primary e-mail address (again, please) *
This is your primary email address we will send your confirmation packet and camp preparation information to. In emergency, we will also send important information by e-mail to this address. (We'll also CALL you in case of extreme emergency). Be certain to add "CampBethelOffice@gmail.com" to your contacts so that our emails don't go to your spam folder.
Parent/Guardian secondary e-mail address, if any (optional)
If you want to, include a second email address for us to send your confirmation packet and camp preparation information to. In emergency, we will copy important information by e-mail to this address. (We'll also CALL you in case of extreme emergency). Be certain to add "CampBethelOffice@gmail.com" to your contacts so that our emails don't go to your spam folder.
Main phone/Cell phone of custodial Parent/Guardian *
include area code, number, and name, (ex: 540-555-1234, Mom's Cell)
Work or other reliable phone of custodial Parent/Guardian
Include area code, number, and name, (ex: 540-555-1234 John Work, or 540-555-4321 Dad's Cell). In case we can't reach you by your cell phone.
Summer Camp Program Choice
From the pull down menus, select your DATES then your PROGRAM TITLE.
During Which Dates does your chosen program occur? REQUIRED QUESTION. *
(Forget the exact dates of your chosen program?  Open another window/tab in your browser and check for an e-mail from PayPal confirming your payment AND the Camp Program Title and Dates for which you paid, OR check www.CampBethelVirginia.org/camps for the schedule.)
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