Winter Getaway Registration
March 2-4, 2018
Camp Winnamocka
$80 per person ($65 if you bring one friend, $50 if you bring two or more)
Deadline for Registration - Wednesday, February 21
Student Name (First and Last) *
Your answer
Street Address *
Your answer
Parent/Guardian Name (First and Last) *
Your answer
Primary Phone Number (Parent) *
Your answer
Primary Phone Number (Student) *
Your answer
Parent Email Address *
Your answer
Known Allergies *
Your answer
T-Shirt Size *
I understand that it is my responsibility as a parent/guardian to complete a CSM Medical Release Form and submit it to the CSM office prior to departure. *
Required
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