First & Last Name
Email Address
Phone Number
Church Name
Church City, State
Event
Primary/Junior Camp
Bus Kids Camp
Junior/Teen Camp
Teen Week 1
Teen Week 2
Teen Week 3
Spanish Family Camp
Ladies Retreat
Family Camp
Young Adults Retreat
Mens Retreat
Number of Adults (Ages 13+)
Number of Children (Ages 4-12)
Number of Boy Campers
Number of Girl Campers
Number of Male Chaperones
Number of Female Chaperones
I acknowledge that my registration is not complete until payment has been received.
I acknowledge that my registration is not complete until payment has been received.
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