​A parent or legal guardian must complete and submit this form.  Information on this form will be held confidential by the directors, health coordinator and camp counselors.  The intent of this form is to provide information needed to provide appropriate emergency care.  In any emergency, parent/guardian will be immediately contacted.  If needed, submit additional information or descriptions via e-mail to CampBethelOffice@gmail.com.  You will have the opportunity to provide changes or updates to this information with the health coordinator at check-in on the first day of camp.  

If you have medical insurance, e-mail or bring a scan/image of the front & back of your medical insurance card; (not required for camp attendance).

Camp Bethel (Fincastle, VA) programs are open to everyone regardless of race, color, national origin, gender or disability.  

This form is comprised of 3 sections:
1. Basic Info/Contact Information
2. Getting to Know your Camper
3. Health Information

Once you have filled out all three sections and submitted your registration, click the SUBMIT button at the bottom.  Required questions have a red "*" asterisk.