BOTR Church Application Before You Begin• Read the BOTR General Information documentName First Last Cell Phone #Email Church Name Church Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Church Phone #Church Email* Church Website* Church Sunday Attendance* Available Camp Dates* June 7-10, 2022 June 14-17, 2022 June 21-24, 2022 June 28-July 1, 2022 July 5-8, 2022 July 12-15, 2022 July 19-22, 2022 August 2-5, 2022 Select all that applyWhich week would be your first choice?*June 7-10, 2022June 14-17, 2022June 21-24, 2022June 28-July 1, 2022July 5-8, 2022July 12-15, 2022July 19-22, 2022August 2-5, 2022Site Facilities Gymnasium Sports Fields Hill (used for Slip 'N' Slide) Number of Meeting Spaces/Classrooms* Why do you want "Beulah on the Road" to be held at your church?How many children do you have attending weekly childrens' ministries? Expected number of campers (must be at least 100 campers)* Please feel free to add any additional information or questions here.I have read the "Beulah on the Road" general info sheet.* Yes Electronic Signature Δ