BMA Of Mississippi | Teen Department

- Youth Leader's Information
  
  Your First Name: *
  
  Your Last Name: *
  
  What Is Your Role?: *
  
  Your Phone Number: *
  
  Your Email Address: *
  
  Your Address: *
  
  City: *
  
  State: *
  
  Zip: *
  
  Name Of Your Church: *
  
  Your Church Phone Number: *
  
  Your Church Email Address:
  
  Your Church Website Address:
  
  Your Church Address: *
  
  City: *
  
  State: *
  
  Zip: *
  
  Your Pastor's First Name: *
  
  Your Pastor's Last Name: *
  
  Your Pastor's Phone Number: *
  
  Your Pastor's Email Address:
  
  NOTE:
  If you would like to secure your place as a church group at the BMA of Mississippi Youth Camp, but are unsure how many campers you will have attending, simply enter the number of campers you think may be coming to camp in this field and then complete one camper's registration information for now. Then once you have gathered all of your campers information, please come back and complete a full registration application for all of your campers attending camp.
  
  If you already have all the information for the campers you are bringing to camp this year, you can bypass this field and complete the registration for your whole group including chaperones.
  
  First Camper's Information
  
  Camper's First Name: *
  
  Camper's Age: *
  
  Camper's T-Shirt Size: *
  
  Camper's Last Name: *
  
  Grade Camper Is Coming Out Of: *
  
  Camper's Gender: *
  
  ADD SECOND CAMPER
  
  Second Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD THIRD CAMPER
  
  Third Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD FOURTH CAMPER
  
  Fourth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD FIFTH CAMPER
  
  Fifth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD SIXTH CAMPER
  
  Sixth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD SEVENTH CAMPER
  
  Seventh Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD EIGHTH CAMPER
  
  Eighth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD NINTH CAMPER
  
  Ninth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TENTH CAMPER
  
  Tenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD ELEVENTH CAMPER
  
  Eleventh Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TWELFTH CAMPER
  
  Twelfth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD THIRTEENTH CAMPER
  
  Thirteenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD FOURTHEENTH CAMPER
  
  Fourteenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD FIFTEENTH CAMPER
  
  Fifteenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD SIXTEENTH CAMPER
  
  Sixteenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD SEVENTEENTH CAMPER
  
  Seventeenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD EIGHTEENTH CAMPER
  
  Eighteenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD NINETEENTH CAMPER
  
  Nineteenth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TWENTIETH CAMPER
  
  Twentieth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TWENTY-FIRST CAMPER
  
  Twenty-first Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TWENTY-SECOND CAMPER
  
  Twenty-second Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TWENTY-THIRD CAMPER
  
  Twenty-third Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:
  
  ADD TWENTY-FOURTH CAMPER
  
  Twenty-fourth Camper's Information
  
  Camper's First Name:
  
  Camper's Age:
  
  Camper's T-Shirt Size:
  
  Camper's Last Name:
  
  Grade Camper Is Coming Out Of:
  
  Camper's Gender:

Teen Camp Registration