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17
  • Surge Summer Camp
    All day
    06/17/2019-06/21/2019

    Brewton Parker College, Mt Vernon, GA 30445, USA

    Brewton Parker College, Mt Vernon, GA 30445, USA

    DANIELL BAPTIST ASSOCIATION

    YOUTH CAMP  June 17-21

    BREWTON-PARKER COLLEGE

    You can download, print, and mail your registration in to the DBA Office, or you can fill out the below form & make your payment online via PayPal.

    Sponsored by the Daniell Baptist Association and held at Brewton-Parker College

     For all youth just completing 6th through 12th grade

    Total camp fee of $175.00 includes 4 nights, 11 meals, t-shirt, tote bag, a drawing for door prizes, and other items throughout the week.  Upon receipt of your application you will receive a confirmation and information sheet via e-mail.

    (Please note: If paying online a PayPal fee is added - $2.77 for the deposit, and $5.38 for the full amount)

    Registration Deadline and non-refundable $85.00

    Deposit due by:  Friday, June 7, 2019

    **To be eligible for door prizes, your application must be in by the

    deadline of June 7.**

    If you have questions, please contact The Daniell Baptist Association at 583-2713 or

    Laura Hay at 583-0160

    If mailing, return application and deposit by June 7, to:

    Daniell Baptist Association

    P.O. Box 388

    Ailey, GA 30410

    Make checks payable to DBA Youth Camp

    Printable Application: SURGE Application 2019

    Register with us by filling out the form below.

    Password must be at least 7 characters long.
    Password must be at least 7 characters long.
    Address Line 1
    City
    State or Region
    Zip

    Please list your 1st and 2nd choices for a roommate We will do our best to give you one of these, but keep in mind that if the person you choose has listed other people, it may be difficult to accommodate everyone. Communication with your chosen roommate would help ensure your choice.

    By Checking & Tying your name below you agree:

    As a camper I agree to abide by all the rules set forth by the DBA Youth Camp Leadership Team. I further understand that failure on my part to comply with rules and directions given by the event organizers and youth leaders that are serving as counselors and chaperones of the event will merit my immediate dismissal from the DBA Youth Camp at my parent/guardian’s expense.

    By Checking and Typing your name below you agree:

    As a parent/guardian I agree to allow my child to attend the 2019 DBA Youth Camp. I understand that the event organizers, the DBA, individual DBA churches or BPC will not be held liable for injuries incurred as a result of my child’s attendance at this event. Should injury or illness arise, other than minor injury, I give my permission for medical care to be provided. I shall be fully responsible for payment of such cost. I also give my permission for any photographs taken of my child to be used for possible promotion of camp. I also give my permission for my child to be transported from Brewton-Parker while participating in local mission projects.

    Please Pay AFTER clicking the green submit button.

    Don’t forget to type in your name. Thanks!


    SURGE
    Camper's Name



18
  • Surge Summer Camp
    All day
    06/18/2019-06/21/2019

    Brewton Parker College, Mt Vernon, GA 30445, USA

    Brewton Parker College, Mt Vernon, GA 30445, USA

    DANIELL BAPTIST ASSOCIATION

    YOUTH CAMP  June 17-21

    BREWTON-PARKER COLLEGE

    You can download, print, and mail your registration in to the DBA Office, or you can fill out the below form & make your payment online via PayPal.

    Sponsored by the Daniell Baptist Association and held at Brewton-Parker College

     For all youth just completing 6th through 12th grade

    Total camp fee of $175.00 includes 4 nights, 11 meals, t-shirt, tote bag, a drawing for door prizes, and other items throughout the week.  Upon receipt of your application you will receive a confirmation and information sheet via e-mail.

    (Please note: If paying online a PayPal fee is added - $2.77 for the deposit, and $5.38 for the full amount)

    Registration Deadline and non-refundable $85.00

    Deposit due by:  Friday, June 7, 2019

    **To be eligible for door prizes, your application must be in by the

    deadline of June 7.**

    If you have questions, please contact The Daniell Baptist Association at 583-2713 or

    Laura Hay at 583-0160

    If mailing, return application and deposit by June 7, to:

    Daniell Baptist Association

    P.O. Box 388

    Ailey, GA 30410

    Make checks payable to DBA Youth Camp

    Printable Application: SURGE Application 2019

    Register with us by filling out the form below.

    Password must be at least 7 characters long.
    Password must be at least 7 characters long.
    Address Line 1
    City
    State or Region
    Zip

    Please list your 1st and 2nd choices for a roommate We will do our best to give you one of these, but keep in mind that if the person you choose has listed other people, it may be difficult to accommodate everyone. Communication with your chosen roommate would help ensure your choice.

    By Checking & Tying your name below you agree:

    As a camper I agree to abide by all the rules set forth by the DBA Youth Camp Leadership Team. I further understand that failure on my part to comply with rules and directions given by the event organizers and youth leaders that are serving as counselors and chaperones of the event will merit my immediate dismissal from the DBA Youth Camp at my parent/guardian’s expense.

    By Checking and Typing your name below you agree:

    As a parent/guardian I agree to allow my child to attend the 2019 DBA Youth Camp. I understand that the event organizers, the DBA, individual DBA churches or BPC will not be held liable for injuries incurred as a result of my child’s attendance at this event. Should injury or illness arise, other than minor injury, I give my permission for medical care to be provided. I shall be fully responsible for payment of such cost. I also give my permission for any photographs taken of my child to be used for possible promotion of camp. I also give my permission for my child to be transported from Brewton-Parker while participating in local mission projects.

    Please Pay AFTER clicking the green submit button.

    Don’t forget to type in your name. Thanks!


    SURGE
    Camper's Name



19
  • Surge Summer Camp
    All day
    06/19/2019-06/21/2019

    Brewton Parker College, Mt Vernon, GA 30445, USA

    Brewton Parker College, Mt Vernon, GA 30445, USA

    DANIELL BAPTIST ASSOCIATION

    YOUTH CAMP  June 17-21

    BREWTON-PARKER COLLEGE

    You can download, print, and mail your registration in to the DBA Office, or you can fill out the below form & make your payment online via PayPal.

    Sponsored by the Daniell Baptist Association and held at Brewton-Parker College

     For all youth just completing 6th through 12th grade

    Total camp fee of $175.00 includes 4 nights, 11 meals, t-shirt, tote bag, a drawing for door prizes, and other items throughout the week.  Upon receipt of your application you will receive a confirmation and information sheet via e-mail.

    (Please note: If paying online a PayPal fee is added - $2.77 for the deposit, and $5.38 for the full amount)

    Registration Deadline and non-refundable $85.00

    Deposit due by:  Friday, June 7, 2019

    **To be eligible for door prizes, your application must be in by the

    deadline of June 7.**

    If you have questions, please contact The Daniell Baptist Association at 583-2713 or

    Laura Hay at 583-0160

    If mailing, return application and deposit by June 7, to:

    Daniell Baptist Association

    P.O. Box 388

    Ailey, GA 30410

    Make checks payable to DBA Youth Camp

    Printable Application: SURGE Application 2019

    Register with us by filling out the form below.

    Password must be at least 7 characters long.
    Password must be at least 7 characters long.
    Address Line 1
    City
    State or Region
    Zip

    Please list your 1st and 2nd choices for a roommate We will do our best to give you one of these, but keep in mind that if the person you choose has listed other people, it may be difficult to accommodate everyone. Communication with your chosen roommate would help ensure your choice.

    By Checking & Tying your name below you agree:

    As a camper I agree to abide by all the rules set forth by the DBA Youth Camp Leadership Team. I further understand that failure on my part to comply with rules and directions given by the event organizers and youth leaders that are serving as counselors and chaperones of the event will merit my immediate dismissal from the DBA Youth Camp at my parent/guardian’s expense.

    By Checking and Typing your name below you agree:

    As a parent/guardian I agree to allow my child to attend the 2019 DBA Youth Camp. I understand that the event organizers, the DBA, individual DBA churches or BPC will not be held liable for injuries incurred as a result of my child’s attendance at this event. Should injury or illness arise, other than minor injury, I give my permission for medical care to be provided. I shall be fully responsible for payment of such cost. I also give my permission for any photographs taken of my child to be used for possible promotion of camp. I also give my permission for my child to be transported from Brewton-Parker while participating in local mission projects.

    Please Pay AFTER clicking the green submit button.

    Don’t forget to type in your name. Thanks!


    SURGE
    Camper's Name



20
  • Surge Summer Camp
    All day
    06/20/2019-06/21/2019

    Brewton Parker College, Mt Vernon, GA 30445, USA

    Brewton Parker College, Mt Vernon, GA 30445, USA

    DANIELL BAPTIST ASSOCIATION

    YOUTH CAMP  June 17-21

    BREWTON-PARKER COLLEGE

    You can download, print, and mail your registration in to the DBA Office, or you can fill out the below form & make your payment online via PayPal.

    Sponsored by the Daniell Baptist Association and held at Brewton-Parker College

     For all youth just completing 6th through 12th grade

    Total camp fee of $175.00 includes 4 nights, 11 meals, t-shirt, tote bag, a drawing for door prizes, and other items throughout the week.  Upon receipt of your application you will receive a confirmation and information sheet via e-mail.

    (Please note: If paying online a PayPal fee is added - $2.77 for the deposit, and $5.38 for the full amount)

    Registration Deadline and non-refundable $85.00

    Deposit due by:  Friday, June 7, 2019

    **To be eligible for door prizes, your application must be in by the

    deadline of June 7.**

    If you have questions, please contact The Daniell Baptist Association at 583-2713 or

    Laura Hay at 583-0160

    If mailing, return application and deposit by June 7, to:

    Daniell Baptist Association

    P.O. Box 388

    Ailey, GA 30410

    Make checks payable to DBA Youth Camp

    Printable Application: SURGE Application 2019

    Register with us by filling out the form below.

    Password must be at least 7 characters long.
    Password must be at least 7 characters long.
    Address Line 1
    City
    State or Region
    Zip

    Please list your 1st and 2nd choices for a roommate We will do our best to give you one of these, but keep in mind that if the person you choose has listed other people, it may be difficult to accommodate everyone. Communication with your chosen roommate would help ensure your choice.

    By Checking & Tying your name below you agree:

    As a camper I agree to abide by all the rules set forth by the DBA Youth Camp Leadership Team. I further understand that failure on my part to comply with rules and directions given by the event organizers and youth leaders that are serving as counselors and chaperones of the event will merit my immediate dismissal from the DBA Youth Camp at my parent/guardian’s expense.

    By Checking and Typing your name below you agree:

    As a parent/guardian I agree to allow my child to attend the 2019 DBA Youth Camp. I understand that the event organizers, the DBA, individual DBA churches or BPC will not be held liable for injuries incurred as a result of my child’s attendance at this event. Should injury or illness arise, other than minor injury, I give my permission for medical care to be provided. I shall be fully responsible for payment of such cost. I also give my permission for any photographs taken of my child to be used for possible promotion of camp. I also give my permission for my child to be transported from Brewton-Parker while participating in local mission projects.

    Please Pay AFTER clicking the green submit button.

    Don’t forget to type in your name. Thanks!


    SURGE
    Camper's Name



21
  • Surge Summer Camp
    All day
    06/21/2019-06/21/2019

    Brewton Parker College, Mt Vernon, GA 30445, USA

    Brewton Parker College, Mt Vernon, GA 30445, USA

    DANIELL BAPTIST ASSOCIATION

    YOUTH CAMP  June 17-21

    BREWTON-PARKER COLLEGE

    You can download, print, and mail your registration in to the DBA Office, or you can fill out the below form & make your payment online via PayPal.

    Sponsored by the Daniell Baptist Association and held at Brewton-Parker College

     For all youth just completing 6th through 12th grade

    Total camp fee of $175.00 includes 4 nights, 11 meals, t-shirt, tote bag, a drawing for door prizes, and other items throughout the week.  Upon receipt of your application you will receive a confirmation and information sheet via e-mail.

    (Please note: If paying online a PayPal fee is added - $2.77 for the deposit, and $5.38 for the full amount)

    Registration Deadline and non-refundable $85.00

    Deposit due by:  Friday, June 7, 2019

    **To be eligible for door prizes, your application must be in by the

    deadline of June 7.**

    If you have questions, please contact The Daniell Baptist Association at 583-2713 or

    Laura Hay at 583-0160

    If mailing, return application and deposit by June 7, to:

    Daniell Baptist Association

    P.O. Box 388

    Ailey, GA 30410

    Make checks payable to DBA Youth Camp

    Printable Application: SURGE Application 2019

    Register with us by filling out the form below.

    Password must be at least 7 characters long.
    Password must be at least 7 characters long.
    Address Line 1
    City
    State or Region
    Zip

    Please list your 1st and 2nd choices for a roommate We will do our best to give you one of these, but keep in mind that if the person you choose has listed other people, it may be difficult to accommodate everyone. Communication with your chosen roommate would help ensure your choice.

    By Checking & Tying your name below you agree:

    As a camper I agree to abide by all the rules set forth by the DBA Youth Camp Leadership Team. I further understand that failure on my part to comply with rules and directions given by the event organizers and youth leaders that are serving as counselors and chaperones of the event will merit my immediate dismissal from the DBA Youth Camp at my parent/guardian’s expense.

    By Checking and Typing your name below you agree:

    As a parent/guardian I agree to allow my child to attend the 2019 DBA Youth Camp. I understand that the event organizers, the DBA, individual DBA churches or BPC will not be held liable for injuries incurred as a result of my child’s attendance at this event. Should injury or illness arise, other than minor injury, I give my permission for medical care to be provided. I shall be fully responsible for payment of such cost. I also give my permission for any photographs taken of my child to be used for possible promotion of camp. I also give my permission for my child to be transported from Brewton-Parker while participating in local mission projects.

    Please Pay AFTER clicking the green submit button.

    Don’t forget to type in your name. Thanks!


    SURGE
    Camper's Name



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