Parent Name  
(last) (first)
Kids
(name) (age) (grade)
(name) (age) (grade)
Address
City State ZIP
Home Phone Alternate Phone
Email Address
Church
(name) (city)

Weekend Rates / Housing
NO PRICE INCREASE FROM 2007 TO HELP WITH GAS!

Please number houseing options in order of preference - 1,2,3
Preference Housing: Adult Age 3- Grade 12 0-2
Lodge (full bath) 189.00 109.00 free
Twin Pines (full bath) 209.00 109.00 free
Cabin (1/2 bath) 169.00 109.00 free
Cabin (no bath) 149.00 109.00 free
RV with hookups 139.00 109.00 free
RV without hookups 129.00 109.00 free
Tent Site 129.00 109.00 free
We are willing to share a cabin with

Payment Information
A $25 non-refundable, non-transferable deposit is required for EACH CAMPER along
with the completed registration form.
$10 additional fee per camper for registrations received after August 15, 2008

Deposit of $    Charge my credit card



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