Family Camp Registration

Family Camp Registration

July 13-19, 2024
Name

First NameLast Name
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Chruch
Email
example@example.com
Adults attending Family Camp:
Children attending Family Camp: (Please List Name, Age, Fall '24 Grade)
Do you plan to attend the Family Fun Fair on Sunday Afternoon? ($7 per person)

YesNo
Housing:

CabinMotel Room (full-waiting list only)
Which cabin/motel room would you prefer, if available? (Motel full-waiting list only)
Camper Park: (full-waiting list only)

Pop-upTrailerMotor HomeTent
Which site # would you prefer, if available?
Unit Size: Length ft ft.
Slide Outs on:

LeftRight
Off Site housing. I will make my own reservation at:
Deposit Information: Registration must include deposit. Deposit is non-refundable.
prevnext( X )
Motel Deposit
$100.00



Cabin Deposit
$100.00



Campsite Deposit
$25.00



Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.