Family Camp 2008

REGISTRATION FORM

(Please print in ink)

 

Mr. / Mrs. _______________________________________________

 

Spouse’s Name  ___________________________________________

 

Address _________________________________________________

 

City ______________________   State _______  Zip _____________

 

Phone  ( ________ ) ________________ q Home   q Cell    q Work

E-mail address ____________________________________________

 

Home Church ____________________________________________

 

Children attending:                                        at camp time

Name __________________________ Age _____ Grade _____

Name __________________________ Age _____ Grade _____

Name __________________________ Age _____ Grade _____

Name __________________________ Age _____ Grade _____

Name __________________________ Age _____ Grade _____

Name __________________________ Age _____ Grade _____

We  plan to attend:

q June 30–July 5   (Late after June 23)

q August 4–9        (Late after July 28)

We request the following accommodations:

        (subject to availability)

q    Cabin   (Indicate 1st & 2nd choice)

        ___ large family cabin 

        ___ small lakefront cabin (family of 4 or less)

q    Campsite for tent or trailer

            (electric & water available)

q    Drive-in

            (contact Registrar for camp fees)

We have enclosed:

q    $50.00 deposit (applied to total camp fee)

q    Total Camp Fee of $_________________

            (total includes $50 deposit)

 

Mail your completed registration form

with camp fee to:

Patti Perry, Camp Peniel Registrar

103 Parkview Avenue

Westerville, OH  43081-2815