Registration Form
Email address *
First Name *
Last Name
Phone Number *
Email Address *
Street Address *
City *
State *
Zip Code *
What Church are you affiliated with? *
Will you need accommodations? *
Do you have any food allergies that the kitchen staff needs to be aware of?
Friday through Sunday
Clear selection
Friday and Saturday only
Clear selection
Saturday Only
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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 five guys coming bring a sixth for free. Preferably your Pastor or an unsaved friend. Please check box stating that you understand. *
Do you want to sign up for the Archery Seminar on Friday, May 29th? 12 spots available!
Clear selection
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 make checks payable to:
CNY Wesleyan District Men
Please send checks to:
Chambers Camp & Retreat Center
114 Campground Rd.
Beaver Dams, NY 14812
I understand where to send my check *
A copy of your responses will be emailed to the address you provided.
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