Millersville Bible Camp Registration 2026

Camper's Name

Camper's Address

Phone

This address will receive a confirmation email

Gender

Male Female

Date of Birth

Allergies/Important Medical Conditions

School Grade as of 9/26

Cabin Mate Request (Same age or grade. Both must make the request.)

How did you find out about MBC Camp?

Parent/Guardian

Relationship to Camper

Home Phone

Daytime Phone

Cell Phone

Mailing Address

This address will receive a confirmation email

Morning Activity #1 First Choice

Morning Activity #1 Second Choice

Morning Activity #2 First Choice

Morning Activity #2 Second Choice

T-Shirt Size

Health/Immunization Agreement

By making application, I agree to abide by PA state law by making sure my child has had a physician's exam within 24 months and to have all immunizations current before he/she enters camp.

Video Promotion

I also give permission to use photos/or video of my child in MBC Promotional materials.

Questions or Comments

Payment (Please choose $295 full payment or $75 deposit below)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

July 27th-July 31st

Millersville Bible Camp Online Registration Form

COST: $295.00 per person (a $50
discount) if paid in full by June 1st. If
paid after June 1st, the cost is
$345.00 per person.

A $75 non-refundable,
non-transferable (except within
immediate family), deposit is
required for each camper. Payment
in full must be received by July 1st.
All fees, except $75 deposit, are
refundable if camper cancels prior
to the Thursday before camp
begins.

Millersville Bible Camp Registration 2026

Description

Please Fix the Following