2018 Family Camp

FAMILY CAMP
A River Full of Fun!

August 9-11, 2019 (Fri-Sun)
at Misty Meadows in Triangle Lake, Oregon

Everyone bring bacon or link sausage to contribute to Saturday morning breakfast

Cost is $20 per person age 3 and over.
Maximum $100 per family

If registered after Tuesday, August 6, please bring hot dogs for Friday night dinner,
and taco bar fixings for Saturday night dinner,
as well as the bacon or sausage for Saturday morning breakfast.
Shopping for dinners and Saturday morning breakfast will be done Wednesday morning.

FAMILY MEMBERS ATTENDING:

Full Name

First Name Last Name

3 or over?

Yes No

Full Name

First Name Last Name

3 or over?

Yes No

Full Name

First Name Last Name

3 or over?

Yes No

Full Name

First Name Last Name

3 or over?

Yes No

Full Name

First Name Last Name

3 or over?

Yes No

Full Name

First Name Last Name

3 or over?

Yes No

Additional Family Members Names

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

Phone Number

Area Code Phone Number

E-mail *

E-mail

Tent or RV? Extra notes:

I desire to participate in the above named activity sponsored by Evergreen Bible Church. I also grant permission for my minor children and wards listed on this form to participate in the above named activity. As a condition of participation, I agree that if I, or any of my minor children or wards, are injured or suffer property loss or damage, I will use my own insurance to cover treatment for such injuries and to pay for such losses and damage. In the event that I do not have adequate insurance coverage, I agree to personally assume financial responsibility for such expenses and losses. I hereby release, forever discharge and agree to indemnify, and to hold harmless Evergreen Bible Church, Greg and Ruth Beck, and Viggo and Karen Toftemark, and their assigns, from any and all claims, demands or causes of action which are in any way connected with participation in this activity.

Confirmation

PLEASE SIGN BELOW WITH YOUR MOUSE OR ON YOUR TOUCH SCREEN. BY ACKNOWLEDGING AND SUBMITTING THE FORM BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature *

CASH OR CHECK PAYMENTS (if you choose to pay this way, please make sure the debit/credit card payment box above is unchecked). $20 per person age 3 and up. Maximum $100 per family. Click Submit Form below to complete registration and bring or mail payment to EBC (Evergreen Bible Church, 9600 E. Mill Plain Blvd., Vancouver, WA 98664).

My Products

Family Camp $ 20.00

Quantity

Total $ 0.00

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Credit Card Details
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