2019 Lake Effect Registration

LAKE EFFECT 2019 REGISTRATION

Church / Group Name *

Church/Group City *

Name of Person Filling out form *

First Name Last Name

Phone Number *

- Area Code Phone Number

E-mail *

Choose retreat. (All other retreats are FULL) *

How long will you be staying? *

Friday, Saturday, Sunday Friday, Saturday Not sure yet!

Number of guy students *

Number of guy leaders *

Number of girl students *

Number of girl leaders *

General notes / Special requests

NOTES/RECOMMENDATIONS

Lincoln Lake strongly recommends that leaders from each group collect and have health forms filled out for every student and leader coming to Lake Effect. In addition, we strongly recommend that adult leaders coming to Lake Effect have a recent background clearance check performed. Lincoln Lake will not be collecting or managing this information for Lake Effect 2019, however, we can assist in this process. Please contact us with any questions.

GUARANTEE YOUR SPOTS TODAY!

If you select 'Yes' to the option below: Enter your credit card information and select 'Deposit' or 'Pay in Full'. If registering more than one camper, enter the number of campers registering to GUARANTEE reservation of these spots.

If you select 'No' to the question below: Enter your address for our records. This will temporarily hold your spot, until 100 people register for that weekend. Contact Lincoln Lake (616.984.2125 or office@lincolnlake.com) to guarantee these spots by check or off-line credit card payment.

Would you like to guarantee your spot today? *

Yes! I'll guarantee my spot with a Credit Card. No. Reserve my spot when you receive my check. (see above)

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

My Products

LAKE EFFECT DEPOSIT (PER PERSON) $ 25.00

Quantity

LEADER PAY IN FULL $ 40.00

Quantity

STUDENT PAY IN FULL $ 85.00

Quantity

Total $ 0.00

Payment Method

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