Start Date: Jun 10, 2012
Choose an Option: Down Payment for 1 week-we'll invoice for balance ($100.00) Full payment for 1 week ($259.00) Down Payment for 2 weeks-we'll invoice for balance ($200.00) Full payment for 2 weeks ($518.00) Down Payment for 3 weeks-we'll invoice for balance ($300.00) Full payment for 3 weeks ($777.00) Down Payment for 4 weeks-we'll invoice for balance ($400.00) Full payment for 4 weeks ($1,036.00) Down Payment for 5 weeks-we'll invoice for balance ($500.00) Full payment for 5 weeks ($1,295.00)
There are five seven-day sessions to choose from:
NOTES:
(the email address listed here will be used for all communication and camp confirmations)
First Name
Last Name
Email
Registrant's street address 1
Registrant's street address 2
Registrant's city
Registrant's state
Registrant's zip code
Registrant's Country
Registrant's Home Phone
Registrant's Mobile Phone
Name of camper's father
Name of camper's mother
Camper's name
Camper's birthdate
Camper's age
Camper's grade completed
Camper's gender
Camper's mailing address (if different than that for Registrant / Financial Contact)
Check if applicable:
Camper would like to room with these friends; (cabin mates must be same gender & close in age) Please limit requests to 2 friends.
If you would like us to send a brochure to a friend, please list names and addresses here:
Home Church
School camper attends
How did you hear about Cedar Lake Camp?
"Other" way you learned about Cedar Lake Camp:
Would you like Cedar Lake Camp to contact you about opportunities to help other children attend camp?
