Winter Family Camp Registration

Date: January 18th (10:00am) thru 20th (2:00pm) - Cost: $80 per person / $300 per family

Optional Additional Day: January 17th - Cost $20 per person / $50 per family. Early arrivals can arrive anytime after 3:00pm. FRIDAY NIGHT Dinner on your own.

REGISTRATION FORM DEADLINE: JANUARY 15, 2025

Adult First Name *

Last Name *

Address [Street number and name; Apt. # if applicable; City, State and Zip Code *

Email *

Phone *

Adult First Name

Last Name

2nd Adult Email

2nd Adult Phone

First Name [Child/Youth]

Last Name

Age

First Name [Child/Youth]

Last Name

Age

First Name [Child/Youth]

Last Name

Age

First Name [Child/Youth]

Last Name

Age

Add Additional Adults/Child/Youth Here

Special Diet Needs

Allergies [Food, plants, medication, etc.]

Other Important Information

Payment Options *

On-line Payment
Mail-In Check

Email