Summer Camp registration form

Register for Safety Training

Bethany United Methodist Church Leisure Ministries

Site map

118 West Third Street South, Summerville, SC 29483

Gender

Age

First Name

Emergency contact
(if participant is minor)

Last Name

Home phone

Emergency phone

Cell phone

Church attends

Email address

Street address

Would you like to be placed
on our mailing list?

City & State

Zip code

May we use your photo in
promotional material?

Are there any special conditions that we need to be aware of?

Please select all courses that you will be attending.

To choose more than one camp, hold the Ctrl key
while making your selections.

(click once)

Online registrations will be placed on a wait list. Only when
payment is received will they be fully registered and
confirmation sent via email.

Authorized Provider of
American Red Cross

Community CPR courses for
Adult, Child & Infant
include AED training

Basic First Aid course includes
training in blood borne
pathogens