SNOW Camp Registration
Event Timing: FEBRUARY 1-3, 2019
Event Address: 2478 Creighton Valley Rd, Cherryville, BC V0E 2G3
Contact us at (778)930-0201,
Denis@coldstreacmchurch.com
* Required
Email address
*
Your email
Name of camper, first and last
*
Your answer
Address
Your answer
Phone number
*
Your answer
Age, and birthday
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Required
What days will you attend?
*
Day 1
Day 2
Day 3
All
Other:
Required
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Allergies if any
*
Your answer
Family Doctor
Your answer
Medical Number
Church connected with (if any)
*
Your answer
Parent(s) or Guardian, Names and address if different from above
*
Your answer
Parent(s) Names and address if different from above
Your answer
Emergency contact, and phone number
*
Your answer
I understand that I will have to pay $50 for my child to attend camp,
yes
payment
*
cash or cheque upon arrival
online email transfer ( ONLINE PAYMENT WILL NOT BE ACCEPTED FOR SNOW CAMP)
Required
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