Registration

First Name *

Last Name *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address *

Preferred way to contact *

Phone

Email

Any

Cabin Type *

Dorm Style (3 Bunk beds- Max occupancy 6)

Premium (Queen and 2 bunks- Max occupancy 4)

How many are coming

	Adult
	Youth
	Children
	Premium Cabin

Agreement *

By checking this box you are agreeing that you will be making a minimum deposit of $25 per person by June 27th for Fall Family Camp with the balance due by September 26th.