West Texas Cowboy Church

Roundup Ranch Youth Camp

Registration Page

Roundup Ranch Youth Camp is August 5-8, 2008 – It's for teenagers, and we will have a different clinic in the arena each evening from 7:00 until 9:00, Bible Focus & Life Application, and Missionaries. There is no cost, but pre-registration is required.

Please click here to download and/or print a registration form. Depending on your software, you may be able to fill out the form using your computer. Once the form is completed, please sign and return it to us.

You may also register online via the form shown below. If you choose the online registration method, we will have the form you submitted at the registration table on the first day for your signature, which is required before we can allow your child to attend.

Roundup Ranch Youth Camp Registration Form

Please submit a separate form for each child you are registering.

Teen's Name - First & Last:

Birthday:  Last Grade Completed:

Parent/Guardian Name:

Address:

City:  State:  Zip:

Home Phone:  

Alternate Phone:  

E-Mail: 

Emergency Contact Name:

Emergency Contact Phone:

Authorized Pickup (other than above):

Please list Allergies, Medical Conditions, and Special Needs:

Do you have a church home?  Yes   No

If "Yes" where does your family attend church?

May we have permission to photograph your child and use the photograph(s) in church newsletters?  Yes   No

May we have permission to photograph your child and use the photograph(s) in the gallery section of our website?  Yes   No

Note: Photos are generally group pictures, and no names are used.

Please be assured that we will never sell, share, or give your personal information to any third parties.