Women's Camp Registration Form

Women's Camp: Hosted at Camp Tapawingo, Candle Lake Fri. June 12, 3pm to Sat. June 13, 4pm. Registration Form

a * indicates a required answer
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your E-mail
example@example.com
Your PhoneNumber
Format: (000) 000-0000.
Any health/mobility/special issues we should be aware of:
Emergency Contact:

First NameLast Name
Emergency contact Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Your Attendance:
Any dietary resrictions or life threatening allergies that we will need to specially accomodate for:
Accomodations:
I will donate an item to the silent auction in support of Camp Tapawingo
Additional Comments
My Products: !!ONLY CHECK IF YOU ARE PAYING BY CARD ON LINE!!
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UCW Camp - Fri. - Sat.
Registration fee for overnight

$60.00 CAD

One Day Attendance
Registration for just Saturday

$40.00 CAD

Total

$0.00 CAD
I will be submitting payment the following way:

Debit or Credit Card

Choose from one of the PayPal options to make your payment.