Father/Son Retreat 2008

REGISTRATION FORM

(Please print in ink)

 

Father’s Name ____________________________________________

 

Address _________________________________________________

 

City ______________________ State _______  Zip ______________

 

Phone  ( ________ ) _______________ q Home   q Cell    q Work

E-mail address ___________________________________________

 

Home Church ____________________________________________

 

Church I am coming with (if different) _________________________

 

Son’s Name _______________________ Age/Grade ___  /  ___

Son’s Name _______________________ Age/Grade ___  /  ___

Son’s Name _______________________ Age/Grade ___  /  ___

Son’s Name _______________________ Age/Grade ___  /  ___

Accommodations desired:

q Cabin               q Indoor facilities necessary, if available

q Campsite for tent or trailer                

Fee applied:

q Early (before  March 1)  

q Standard                      

q Late (after April 18)        

I have enclosed:   

q $10 Deposit (Balance of camp fee due upon arrival at camp)

q Entire camp fee of $__________________

             ($10 deposit is included in camp fee)

 

 

Please complete the registration form and mail with camp fee to:

             Patti Perry, Camp Peniel Registrar

103 Parkview Avenue

Westerville, OH  43081-2815

* Please make all checks payable to: Peniel Bible Camp.

* $10 deposit is non-refundable and non-transferable.

* Returned checks are subject to a $15 charge.

* Registrations cannot be accepted by phone or email.

* Registrations will not be confirmed until registration form and money are received by the Camp Peniel Registrar.