St. Marys Family Camp Registration

Parent #1 Full Name

First NameLast Name

Parent 1 Diet Restrictions

Whole Food Allergies

Parent #2 Full Name

First NameLast Name

Parent 2 Diet Restrctions

Whole Food Allergies

Child #1

NameAgeGrade

Child 1 Diet Restrictions

Child 1 Whole Food Allergies

Child #2

NameAgeGrade

Child 2 Diet Restrictions

Child 2 Whole Food Allergies

Child #3

NameAgeGrade

Child 3 Diet Restrctions

Child 3 Whole Food Allergies

Child #4

NameAgeGrade

Child 4 Diet Restrctions

Child 4 Whole Food Allergies

Child #5

NameAgeGrade

Child 5 Diet Restrctions

Child 5 Whole Food Allergies

E-mail Address

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Home Parish

Rooms sleep 6 people. Is there someone with whom you'd be willing to share a room?

Share A Room?

With Whom?

Arrival will begin on Friday at 4pm. We plan to have dinner at 6pm Friday night. The weekend will conclude Sunday following Liturgy and brunch.

Check in will be held at Crossfire hall where room assignments will be available

Anticipated Arrival

Time

We have the opportunity to have a Pontoon Ride available during our free time.

Number of family members interested in a Pontoon Ride

Payment Method

Attendees

Family Maximum Cost$350.00

Adults 18+$89.00

Quantity

Age 12-17$68.00

Quantity

Age 3-11$55.00

Quantity

Age 0-2Free

Quantity

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Early Registration Period is Through Sept 14. If regsitering after Sept 15th, the regular registration amount would apply.

NON REFUNDABLE AFTER OCTOBER 1ST

If paying by check; Send either a copy of your registration or indicate who the registration covers to:

St. Mary's Greek Orthodox Church

3450 Irving Ave South

Minneapolis, MN 55408

Attn: Family Camp

Registration is first come, first served upon receipt of payment.

Please contact your parish priest for financial assistance.

St. Mary's Family Camp Registration

Attendees