Please submit a registration form for each child attending.
* Camper's Name:
* Camper's Address:
* Zip Code:
* Home Phone #:
* Email Address:
* Date of Birth:
Allergies/Important Medical Conditions We Should Be Aware Of:
* School grade as of September 2017:
Cabin Mate Request (Same age or grade. Both must make the request):
How did you find out about MBC Camp?
* Relationship to Camper:
* Daytime Phone #:
* Mailing Address:
ACTIVITY CHOICES: Each activity has limited space and is available on a first come, first serve basis.
* Activity #1 First Choice:Select OneArcheryArts & CraftsBB Guns (5th-7th grade)CanoeingHorsemanship (Advanced)Go KartsPinewood Derby
* Activity #1 Second Choice:Select OneArcheryArts & CraftsBB Guns (5th-7th grade)CanoeingGo KartsHorsemanship (Advanced)Pinewood Derby
* Activity #2 First Choice:Select OneArcheryArts and CraftsBB Guns (5th-7th grade)Yearbook (5th-7th Grade)Go KartsHorsemanship (Beginner)Sports & Games
* Activity #2 Second Choice:Select OneArcheryArts & CraftsBB Guns (5th-7th grade)Yearbook (5th-7th Grade)Go KartsHorsemanship (Beginner)Sports & Games
* T-Shirt Size:Select OneChild SmallChild MediumChild LargeAdult SmallAdult MediumAdult Large
By making application, I agree to abide by PA state law by making sure my child has had a physician's exam within 24 months and to have all immunizations current before he/she enters camp.
I also give permission to use photos/or video of my child in MBC Promotional materials.
* Please indicate what form of payment you will be choosing to cover your child's camp fees:Check or Money OrderPayPal or Credit Card
Questions or Comments:
1940 New Danville Pike
Lancaster, PA 17603
Early Worship 8:20-9:30 AM
Sunday School 9:45-10:45 AM
Late Worship 11:00 AM-12:10 PM