CAMP FUEL 2024

AUGUST 5TH - 9TH 2024
Those attending must be going into Year 8 and not yet 19 years old

TOTAL COST FOR CAMP IS $250KYD

CAMP SIGN UP FORM

Teen/Student Information

Name

Student

First Name

Last Name

Gender

Female

Male

P.O. Box & Postal Code

City: Only fill in if not Grand Cayman

State: Only fill in if not Cayman Islands

E-Mail

Year

School

Birth Date

YYYY

Phone Number of Youth

(###)

###

####

Does the student for whom this application is being submitted have health insurance?

Yes

Company Name

Policy Number

Parent/Guardian Information

Name

Parent/Guardian

First Name

Last Name

Phone Number of Parent/Guardian

(###)

###

####

E-Mail

Request a Cabin Mate (up to two and must be in the same camp program)

T-Shirt Size (Adult Sizes)

Date

YYYY

For any further questions, contact Pastor Dalmond at pastordalmond@cibaptist.ky or 917-3495.