Church Info
Church Name: *
Address:
City:
State:
Zip code:
Church Phone:
Contact Person
Name:
Position:
Address:
City:
State:
Zip:
Preferred Phone:
Email Address:
Facebook?	Yes No
Best way to contact you?
Should all correspondence for camp be sent to the church address or your address?	Church Personal
Reservations
Step 1: Review Camp Info
July 19-24 -- Ben Hackler, Camp Pastor -- Justin Cofield Band, Worship Leaders
Step 2: Tell us how many are in your group.
Male Students:
Female Students:
Male Counselors:
Female Counselors:
Total Students & Adults
Step 3: Drop us a check. Registration fee is $250. Cost per student is $240 before March 1 and $250 afterwards.
Step 4: IMPORTANT -- Read this before submitting.

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