CC Family Camp 2024

Name

First NameLast Name

Number of Family Members

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Home Church?*

I'd like to help lead a discussion, class, or worship time*

YesNo

Choice of Lodging & Payment:

Click HERE to see short tour videos of our lodging options.

PAYMENT OPTIONS*

Pay now by credit card

Choose Type of Lodging:

RV Site @ Loomis Lake$37.00

# of nights

Tent Site @ Loomis Lake$22.00

# of nights

Staff Cabin (Queen Bed) @ Dunes Main Camp$57.00

Room with a queen bed. Communal bathrooms are located inside the building. (A one-time cleaning fee of $30 will be added to your total)

# of nights

Staff Cabin (Queen Bed and Bunk Bed) @ Dunes Main Camp$57.00

Room with a queen bed and bunk bed. Communal bathrooms are located inside the building. (A one-time cleaning fee of $30 will be added to your total)

# of nights

Staff Cabin (Full Bed) @ Dunes Main Camp$57.00

Room with a full bed. Communal bathrooms are located inside the building. (A one-time cleaning fee of $30 will be added to your total)

# of nights

Fireside Cabin @ Dunes Main Camp$57.00

Cabin with 10 beds. Bathroom/shower located inside each cabin. (A one-time cleaning fee of $30 will be added to your total)

# of nights

Chapel Lawn Cabin @ Dunes Main Camp$57.00

Cabin with 12 beds. Communal bathrooms are located inside the building. (A one-time cleaning fee of $30 will be added to your total)

# of nights

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code

DUNES BIBLE CAMP RELEASE & PERMISSION FORM

The purpose of Dunes Bible Camp (DBC) is to provide programs and/or a facility to assist Christians in bringing the gospel of Jesus Christ to every camper and to help Christians grow in their faith.
Any participant that engages in illegal activities, endangers others, or refuses to conform to the camp rules is subject to being asked to leave immediately. The participant will forfeit camp fees.
I recognize that DBC has taken extensive safety measures; however, I also recognize that DBC cannot insure or guarantee that the participants, equipment, grounds, and/or activities will be free of accidents or injuries. I will defend DBC, its staff, employees, volunteers, and its Board of Directors from any claims of liability arising from my participation in the DBC camps or activities.
I give permission for DBC to use any photo or video of myself for DBC publications or promotion/advertising. I release my right to any kind of remuneration for said photos or videos.
In the event of a emergency/medical situation where I am not able to answer for myself and my emergency contact cannot be reached, I give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and order injection, anesthesia, X-rays, routine tests, and/or surgery; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation for me.
I hereby authorize the directors and staff at DBC to act for me in their best judgment in any emergency requiring medical attention. I have made note of any medical or physical problems which might affect my ability to safely participate in the camp.

By signing, I agree to the terms above:*

Portland Area CC Family Camp