Registraion Forms

Once you have submitted your registration you will be contacted to arrange registration fees.

Ages 7-17

Participant’s Name:
Age:
Date of Birth:
Last Grade Completed:
Home Address:
City:
State:
Zip Code:
Email:
Height:
Weight:
Shoe Size:

Wakeboarding Level:

Have you ever wakeboarded before? Yes    No 
What is your wakeboarding level? No experience    Beginner  Intermediate  Advanced 
Provide a description of abilities

Parent/ Guardian Information:

(1) Parent’s First Name:
Last Name:
Relationship:
Address:
City:
State:
Zip Code:
Home Phone:
Mobile Phone:
Email:
(2) Parent’s First Name:
Last Name:
Relationship:
Address:
City:
State:
Zip Code:
Home Phone:
Mobile Phone:
Email:


Additional Information:

Roommate Request for Overnight

Campers
OtherRequests

Terms and Conditions:

  • BCR CAMP WAKE session check-in begins on Sunday at 2:00 pm and check out is Thursday at 1:00 pm.


  • The cost for each day session is $450.00. A $150.00 non-refundable deposit is due upon registration and goes toward the session cost. The remaining balance of $300.00 is due by May 1, 2011.


  • All necessary paperwork (including medical forms) must be submitted by May 15, 2011.

I hereby accept the above mentioned terms and conditions. I understand and agree to camp policies, including those regarding cancellations and withdrawals. I allow my son/daughter to participate in their BCR CAMP WAKE session.


PO Box 137 - Riverside, Texas 77367
Voice: (936) 594-2511 - Toll Free: (800) 537-6251 - Fax: (936) 594-2512 Email: info@bethycreek.com

Family Owned and Operated - Your Hosts ~ Randell, Sayrah & Randell Vincent Jr.

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