Dynamic Worship Seminar

Please note that any field with an asterisk (*) is a required field.

If you have any questions about an event, registration form or anything else, please call our offices at (641) 858-3284 or email us at office@iowabgc.org.

*Name:

*Church:

*Total Cost:

*Is this your first time at Pine Lake Christian Camp?

*Street Address:

*City:

*State:

*Zip Code:

*Home Phone #

*Email Address:

*Gender:

The Fine Print

I hereby release and discharge the Iowa Baptist Conference and Pine Lake Christian Camp, its officers, directors, employees and agents from any claims, causes of action, costs, obligations or financial responsibility resulting from or arising out of any accident occurring while I am participating in activities at Pine Lake Christian Camp. If the Iowa Baptist Conference or Pine Lake Christian Camp is held financially responsible to or for any such incident, injury or accident, I agree to indemnify and hold harmless the Iowa Baptist Conference and Pine Lake Christian Camp from any such responsibility including costs, damages and attorney fees incurred by the Iowa Baptist Conference and Pine Lake Christian Camp.

I hereby give permission for the Iowa Baptist Conference and Pine Lake Christian Camp to use comments, photographs and videos of myself to be used in camp promotions.

*I hereby certify that I have read this page and that all information is accurate to the best of my knowledge.

*Initials:

*Name:

One Last Word...

When you press the submit button, you will be redirected to the secure Paypal website where you can pay your registration fee for the event you have selected.

If you have any questions about this event, registration form or anything else, please call our offices at (641) 858-3284 or email us at office@iowabgc.org.