Summer Family Camp Registration
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Estimated Time of Arrival
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Adults Attending
*
Children Attending
Sleeping Arrangements
*
I am bringing a tent
I am bringing a camper
I will need a cabin
I will be staying off-site
Payment
prev
next
( X )
Deposit (non-refundable)
$25.00
$
25.00
Single
$65.00
$
65.00
Couple
$125.00
$
125.00
Family of Three or More
$165.00
$
165.00
Total
$0.00
$
0.00
Submit
Should be Empty: