REFUGE Summer Camp 2017
REFUGE Summer Camp 2017
REFUGE is our Student Ministry summer camp experience in which we break the routine of our lives by traveling to camp in Brownwood, Texas for a week of worship, Bible study, and incredible fun. Cost: $275
Student Name:  * 
Grade Completed:  * 
Age:  * 
Gender:  * 
Parent/Guardian Name:  * 
Address (street, city, state, zip):  * 
Home Phone:  * 
Dad’s Cell:  * 
Your Email Address  * 
Mom’s Cell:  * 
Emergency Contact Name & Phone:  * 
Allergies, Medication, Special Needs:
Do you attend church? if so where?:  * 
May we have permission to photograph your student?:  * 
Additional Comments:
T-Shirt Size:  * 
For more information contact Casey Cockrell at ccockrell@fbctyler.
Total $
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