Membership Registration – Little Blue Bible Camp

Member Name*

First Last

Spouse Name

First Last

If applying for joint membership

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Mobile/Cell Number

Mobile or Alternate Number where you may be reached.

Email*

Enter Email Confirm Email

Please supply a valid email. A copy of this completed form will be sent to the email address provided for your records.

What is the best contact method for you?*

Email
Home Phone
Mobile Phone
Postal Mail
Text (SMS)

Please select all that apply.

Where do you attend church?*

Home Congregation

MEMBERSHIP APPLICATION FEE

Annual fee or lifetime membership.

Which membership are you interested in? Please check all that apply.*

Single Annual Membership - $20
Couples Annual Membership - $35
Lifetime Membership - $200 (per person)
Lifetime Membership - $400 (per couple)

NOTE: All persons desiring to become members of Little Blue Bible Camp are required to be members in good standing of a church of Christ. All members are required to be 18 years of age and up. All members are welcome to attend the Board of Directors meeting the 3rd Sunday of each month at 2pm. Currently the meetings are held in Lees Summit, Mo.

Sub Total

$0.00

Are you or your spouse interested in being contacted to assist with the camp?

Yes
No

Camp counselor, maintenance assistant, cook assistant, lawn mowing assistant, cleaning assistant or any other projects that may need to be done during camp sessions and/or year-round.

Total Due

$0.00