Registration begins at 4:00 pm the first day of each youth camp. Camp is over at 10:30 am on the last morning of each session.

To register, please print this page, fill in the information on the form, and mail it to The Dunes Bible Camp, 23515 Pacific Way, Ocean Park, WA 98640. If you prefer you may click on the "HTML" link below and print out just the form to fill in and mail. In case of cancellation, a $25 administration fee will be retained by The Dunes.

Click here to download the Dunes Bible Camp registration form in
HTML format.

PERSONAL / MEDICAL INFORMATION
Camper’s Name__________________________________________
Birthday____________________________ ___ Boy  ___Girl
Grade next fall ______________ Age during camp ____________
Home Church____________________________________________
Parent’s Names __________________________________________
Mailing Address __________________________________________ City____________________________State_______Zip__________
Home Phone ____________________________________________
Cell Phone # ____________________________________________
Emergency Contact Name _________________________________
Emergency Contact Phone #________________________________
Insurance Co. Name & Address______________________________
_______________________________________________________
Policy / ID#______________________________________________
Family Physician_________________ Phone___________________
Pre-existing medical conditions, allergies, disorders, etc.__________
_______________________________________________________
List any prescribed medications.

Prescriptions must be in original containers and turned in at registration.______________________________________________
________________________________________________________
Immunizations are current ___Yes   ___ No
Initial if your child can receive over-the-counter
medications (i.e. Tylenol, Advil, etc.) ________

CAMP INFORMATION
Please sign me up for (circle): Primary Camp, Junior High Camp,
Junior Camp or High School Camp
Cabin buddy request:
(Please choose only one or two cabin mates. They should also choose you.)

1. _____________________________________________________
2. _____________________________________________________

Cabin Leader request:_____________________________________

PAYMENT INFORMATION
___Check enclosed (Payable to Dunes Bible Camp)
___Charge my:  ____VISA   ____MC   Exp. Date_____________
Card # ________________________________________________
Name on Card __________________________________________
Signature _____________________________________________

PARENTAL RELEASE & PERMISSION
A. The purpose of the Dunes Bible Camp is to provide programs and/or a facility to assist Christians in bringing the gospel of Jesus Christ to every camper and to help Christians grow in their faith.
B. Any participant that engages in illegal activities, endangers others, or refuses to conform to the camp rules is subject to being sent home immediately. The parents or guardians will be responsible for transportation and to forfeit camp fees. Modesty in dress is also required. The camp reserves the right to determine the standard of attire.
C. My child has the permission to participate in all activities on or off the grounds. I recognize that The Dunes Bible Camp (DBC) has taken extensive safety measures; however, I also recognize that DBC cannot insure or guarantee that the participants, equipment, grounds, and/or activities will be free of accidents or injuries. I will defend DBC, its staff, employees, volunteers, and its Board of Directors from any claims of liability arising from my/my child’s participation in the DBC camps or activities.
D. I give permission for Dunes Bible Camp to use any photo or video of my child for DBC publications or promotion/advertising. I release my right to any kind of remuneration for said photos or videos.
E. In the event that I cannot be reached in an emergency, I give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and order injection, anesthesia, X-rays, routine tests, and/or surgery; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for my child.
F. I hereby authorize the directors and staff at Dunes Bible Camp to act for me in their best judgment in any emergency requiring medical attention. I have made note of any medical or physical problems which might affect my child’s ability to safely participate in the camp.



________________________________________________________
Parent/Guardian Signature

________________________________________________________
Date

________________________________________________________
Camper’s Signature
(By signing, I agree to respectfully comply with all
camp rules and to accept camp leadership authority.)

Please copy and complete Consent Form.
Thank YOU!

Mail registration form and payment to:
Dunes Bible Camp 23515 Pacific Way, Ocean Park, WA 98640