LRCC Summer Family Camp Registration

LRCC Summer Family Camp Registration

Luther Glen Farm - July 1-3, 2023

Contact Information
Name*
Congregation*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Participant Information
Please list all Youth*
Please list all Adults*
Lodging

CabinRC (Extra $60 per participant or $130 Family Max)
Dietary Preferences:*
Allergies:*

Payment Information
I will be paying by:*

CheckCredit Card
If paying by check please mail to:

LRCC Office 39136 Harris Road, Oak Glen, CA 92399

-

If paying by credit card submit this form and you will be redirected to our website where you can pay. Be sure to select the right camp and remeber you total.
My Products
prevnext( X )
Deposit Only$75.00
Per person

Quantity

Registration: Adult$180.00

Quantity
Item subtotal:$0.00

Registration: Youth$140.00

Quantity
Item subtotal:$0.00

Family Max$510.00
If your total for your individual family unit (parents & children) exceeds $475 select "Family Max" & if you are registering for the retreat be sure to select "`Retreat Center Family Max" below

Retreat Center Lodging $60.00
per person

Quantity

Retreat Lodging Family Max$130.00

Total $0.00
Should be Empty: