Mother / Daughter Retreat 2008

REGISTRATION FORM

(Please print in ink)

 

Mother’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) ___________________

 

Daughter’s Name ________________ Age/Grade ___ / ___

Daughter’s Name ________________ Age/Grade ___ / ___

Daughter’s Name ________________ Age/Grade ___ / ___

Daughter’s Name ________________ Age/Grade ___ / ___

Accommodations desired:

q Cabin                                  

q Campsite for tent or trailer

q Drive-in / Local Motel  (Make your own motel reservations)

Fee applied:

q Early (before April 1)  

q Standard                       

q Late (after June 20)        

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.