Above Rubies Family Camp
Registration form for the Above Rubies Family Camp in Patterson, MO
Spouse's name (if applicable)
List of family names and ages:
How many adults(18+) will be attending?
How many children(6-17) will be attending?
How many children(0-5) will be attending?
How did you hear about the family camp?
Tell us a little about yourself and your family testimony.
What type of housing are you requesting? (Your spot will be reserved once we have confirmed your choice and you have paid the fee.)
Tent w/electric ($15 - bring an extension cord)
RV hookup with 30 AMP hookup and water ($35/night)
housing option (waitlist only)
I will pay by (please total up your costs using the pricing information that is found on the website at
Check (mail to 5027 Wayne 380 Lot 10, Patterson, MO 63956)
Paypal (go to website link above then hit the "Pay Now" button to make a payment)
Would you or any family members be willing to volunteer to help in the kitchen or clean during the event? Please put the names of the family members willing to help then we will put them into the cleaning schedule.
Do you have any certifications or training that would be helpful to know for the event (medical, security, etc)
Any food restrictions which the kitchen should be aware. We will attempt to have options available.
Any additional comments or questions...
I and my family will abide by the event's rules and guidelines (refer to
A copy of your responses will be emailed to the address you provided.
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