Online Registration-Application Form | Happy Hollow Bible Camp

Happy Hollow Registration-Application
Fill out every required field
Make sure you click the box Note to parents
it will be the same as your signature
for Emergency care.
Include your T-shirt order.
First choose Adult or Child
then select size in box that appears below.
When you hit submit you can then click on the
“Download PDF” to obtain a printable pdf of the form you just filled out.

Campers Name*
First Last
Date Of Birth*
MM slash DD slash YYYY
Camper or Staff Male or Female?*
I Am Staff
- Yes, I Am Staff
If you are Staff select Yes
Staff only, select your job / position
Select role
Camper's Grade (last Year)*
Session Attending*
From the drop down list carefully select the session camper will be attending
I have a parent who is a Staff Member at this session*
Parent or Legal Guardian*
Phone*
Emergency contact number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Home Congregation
Church Preference
Member of the Church*
Your Medical Insurance Company*
Policy / Group Number*
Will you be paying online using a credit card or PayPal?*
- Yes
- No
If you are paying for the session with a credit card thru PayPal Select "Yes" If you are sending payment to our PO Box or another way Choose "No" Note reservation of session is not complete until payment has been made>
Checking this button is the SAME AS YOUR SIGNATURE and indicates you've read -and understand the "Note to Parents*
- I confirm the content and understand the "Note to Parents" Clicking this button is the same as my signature
"Note to parents" Camps release from liability in connection of medical administrations and the responsibility and filing of insurance of both parties.
Tshirt Adult or Child*
Adult or Child size After selecting your t-stirt size, be sure to hit the submit button before moving on to the pay buttons !
Adult sizes
Choose your size*
Child Sizes
Child sizes*

Click here for pay buttons

Adult sizes

Child Sizes