Prime Time Camp
June 8-12 - Manhattan Beach Retreat Centre
Information
Name
*
First Name
Last Name
Email
*
example@example.com
Contact Phone
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
List Any Allergies and Dietary Restrictions
Payment options.
Check the boxes that apply. For E Transfer use the email address mbwno@paoc.net. To pay with credit card call the office at 204-934-1000.
Payment Option
In Private Trailer or Cabin $225 per person - Before May 31.
In camp hotel - $250 per person - Before May 31.
After May 31st - Add $20.
Date
*
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Month
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Day
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Date
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