2019 Winter Weekend
Are you registering for a Group or Individual?
Contact Person *
Youth Leader/Parent - in case we have questions
Your answer
Name of Church/Group/Family/Individual Camper *
Your answer
Full Address *
Your answer
Contact Phone *
Format: ###-###-####
Your answer
Email address *
Your answer
Number of male students
Church/Youth Groups only
Your answer
Number of female students
Church/Youth Groups only
Your answer
Number of male sponsors
Church/Youth Groups only
Your answer
Number of female sponsors
Church/Youth Groups only
Your answer
Number of family members
For Family weekend
Your answer
Which date will you be attending? *
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