Family Camp Registration

Registration deadline is July 1, 2020
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date Arriving*

MonthDayYear
Date Leaving*

MonthDayYear
Number of pets
Number of extra vehicles
Boat
TentRV
RV Size
To reserve your site ... Please send a check for
dollars
To:

Whispering Pines Church

Attn: Shelli Netherby

680 Brighton St.

Grass Valley, CA 95945
Should be Empty: