Registration Form
Email address *
First Name *
Your answer
Last Name
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Will you need accommodations? *
Friday through Sunday
Friday and Saturday only
Saturday Only
This year we are encouraging the idea of mentoring young men. If you have a son bring him. If not, adopt a son for the weekend. If you bring someone between the ages of 13 - 20 you will receive 50% off one registration. Please check box stating that you understand. *
To be compliant with the New York Safe Act we must have signed permission slips from parents for anyone under the age of 16 that will be shooting a firearm. PLEASE BE PREPARED FOR THIS. WE MUST FOLLOW THE LAW. Please check box stating that you understand. *
If you have four guys coming bring a fifth for free. Preferably your Pastor or an unsaved friend. Please check box stating that you understand. *
We will be taking pictures during this event. If you would prefer us not to use photos of you online or in any Chambers Camp promotional material please let us know upon arrival for registration. Please check box stating that you understand. *
What to bring
* Bring a sleeping bag or bedding and pillow
* Toiletries
* Bible
*Rain gear
* Optional items a bow for archery and potato cannon
Please send checks to:
Chambers Camp & Retreat Center
114 Campground Rd.
Beaver Dams, NY 14812
I understand where to send my check *
Please make checks payable to:
CNY Wesleyan District Men
A copy of your responses will be emailed to the address you provided.
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