Mother & Daughter Retreat - 2023
Iowa Regular Baptist Camp
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
Please Select
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State
Zip Code
Church
Church City:
List the name & grade of each child attending:
(i.e. Sue Smith - 4th Grade)
List the names of additional adults attending:
We would like to be housed with:
Friend's Name or a Specific Church
Attendees:
*
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Adult - MD
$
40.00
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Item subtotal:
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Child - MD
$
30.00
Quantity
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0.00
Total
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0.00
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