Registration

First Name
Last Name
Age
Home Address
City
State
Zip Code
Email
Cell Phone
Home Phone
# Attending
(including yourself)
  I am attending as an individual and will be staying in the bunkhouse ($125)
  I am attending with my family, and we would like to reserve spots in the bunkhouse ($125 for each adult, $75 for each child (over 5))
  I am attending with my family, and we would like to camp. We will bring our own tent ($100 for each adult, $50 for each child (over 5))
  I am attending with a spouse, and we would like to camp. We will bring our own tent ($100 for each adult)
Please note: Child care will be arranged for children.
Please list any special diet needs that you may have.
   
Your name and email will be distributed for ride sharing opportunities.
Please check here if you do not want your information to be shared
Home Congregation