FAMILY CAMP REGISTRATION FORM

FAMILY CAMP REGISTRATION FORM
Office: (724) 738-0058 Email: campsoffi[email protected] Register Online: www.CAPNWP.org
Session Information
Indicate which session(s) you wish to attend:
Family Camp B
July 24-29
Family Camp A
July 17-22
Camping Weekend
May 27-30
Family Camp C
July 31-August 5
Camping Weekend
September 2-5
Contact Information
First Name:
Last Name:
Age:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
Home
Cell
Work
Parent / Guardian Email:
Church Information
Church Attending:
Phone Number:
Address:
Presbytery:
Bulter / Beaver
Kiski
I do not attend church
Other:
Shenango
Lake Erie
Family Camp Information
If you are attending Family Camp, please fill out this section with the names of your family members who will be attending.
Adult
Boy
Girl
Name:
Age:
Fee:
Adult
Boy
Girl
Name:
Age:
Fee:
Adult
Boy
Girl
Name:
Age:
Fee:
Adult
Boy
Girl
Name:
Age:
Fee:
Adult
Boy
Girl
Name:
Age:
Fee:
Adult
Boy
Girl
Name:
Age:
Fee:
Cabin Placement Request
No advance guarantee can be made reguarding cabin placement, every effort will be made to honor requests when possible.
Cabin Preferrence:
(2)
With the following family:
Payment
An $80 deposit is required to complete the registration.
Please charge a total of
Card Holder Name:
to my
VISA
Card Number:
Mastercard
Discover
Exp:
CCV:
Enclosed is my payment of
Signature:
Mail to: CAPNWP, P.O. Box 106, West Sunbury, PA. 16061