Senior Retreat - 2024
Iowa Regular Baptist Camp
Name
*
First Name
Last Name
Spouse Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Comments/Housing Request:
Indicate if you have a medical need for handicap housing or if you're unable to handle stairs.
Housing
*
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( X )
Cabin (Couple)
$
300
Campsite (Couple)
$
200
Individual (Shared Room)
$
150
Off Campus
$100 Per Person
$
100
Quantity
1
2
Credit Card
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