2024 Flat Tops RBC Registration
Please fill out the form to register for Rodeo Bible Camp.
DO NOT FORGET TO UPLOAD YOUR HEALTH FORM
Email
*
This address will receive a confirmation email
Camper's Name
*
Camper's Age as of June 1, 2024
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Parent/Guardian Full Name
*
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Will camper have a sibling attending Camp
*
Please select one option.
Yes
No
If Yes - Name of Sibling
Please choose ONLY one age group below
Sr Boys (13-18)
Please select one option.
Bareback Riding
Bullfighting
Bull Riding
Calf Roping
Chute Dogging
Pickup man
Saddle Bronc Riding
Sorting
Steer wrestling
TR - Heading
TR- Heeling
Jr Boys (8-12)
Please select one option.
Breakaway
Chute Doggin
Goat Tying
Horsemanship
Sorting
Steer Riding
TR - Heading
TR - Heeling
Senor Girls ( 13-18)
Please select one option.
Barrels / Poles
Breakaway Roping
Goat Tying
Horsemanship
Sorting
TR- Heading
TR Heeling
Jr Girls (8-12)
Please select one option.
Barrels / Poles
Breakaway Roping
Goat Tying
Horsemanship
Sorting
TR - Heading
TR - Heeling
2nd/3rd choice event
$50 non-refundable deposit required
*
Please select one option.
I Understand
Horses are NOT provided. 1 horse per camper
*
Please select one option.
I Undersatnd
Unsafe Horses WILL BE removed (health and/or safety threat)
*
Please select one option.
I understand
$50 REFUNDABLE stall deposit required - Returned upon cleaning of stall after camp
*
Please select one option.
I understand
A release form is required for camper signed and NOTORIZED (available on Website)
*
Please select one option.
I Understand
A health form must be completed for each camper and signed by parent/guardian
*
Please select one option.
I Understand
Upload Health Form HERE
*
Upload (8MB)
Once you complete the registration and have submitted the form. Please return to Flattops Cowboy Church website to pay your deposit.
Flat Tops Cowboy Church Website
Submit
Description
Please fill out the form to register for Rodeo Bible Camp.
DO NOT FORGET TO UPLOAD YOUR HEALTH FORM
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