Word of Life Camp Registration
Event Dates: August 13-19, 2017
Location: Word of Life Island & Ranch, Schroon Lake, NY
For more info Contact Pastor Chris at (804) 691-4437 or PastorCJenkins@aol.com
Students Last Name *
Your answer
Students First Name *
Your answer
Parent/Guardian Name *
Your answer
Student Email
Your answer
Parent/Guardian Email *
Your answer
Student Phone #
Your answer
Parent/Guardian Phone # *
Your answer
Grade going into September 2017 *
Required
Sign me up for the OPTIONAL Worship Camp at the Island (+$85)
Sign me up for the OPTIONAL Horsemanship Camp at the Ranch (+$99)
Allergies, Medical and/or Special Needs
Your answer
I understand a $75 non-refundable deposit is due June 4 *
I understand the remaining $300 balance will be due NO LATER THAN JULY 16 *
I would be willing to assist as an extra driver for the week if needed. (All housing expenses will be provided via Unity Student Ministries) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service