Church Camp Registration
Roseau River Bible Camp | June 3-5, 2022
FAMILY INFORMATION
First Name
Last Name
# of Adults:
# of Children:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Adult 1's Name
First Name
Last Name
Cell Number
E-mail
example@example.com
Adult 2's Name
First Name
Last Name
Cell Number
E-mail
example@example.com
Please list names of any children attending & their age and grade in fall.
Do you have any diet restrictions? Ex. 2 people - gluten free, 1 person- dairy free
BOOKING INFORMATION
We require a room at camp
We are camping with our own equipment
We are attending but not staying overnight
Number of people sleeping overnight Friday
Number of people sleeping overnight Saturday
MEALS AT CAMP
Friday
Snack
Saturday
Breakfast
Saturday
Lunch
Saturday
Supper
Sunday Breakfast
Sunday Lunch
# of people
Submit Form
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform