Family Name:
(Include at least one adults name, and your last name)
Mailing Address:
City:
Zip Code:
Home Phone #:
Primary Cell Phone #:
Primary Email:
Arrival Date:
Select Date
July 17
July 18
July 19
July 20
July 21
July 22
July 23
Departure Date:
Select Date
July 18
July 19
July 20
July 21
July 22
July 23
July 24
Are you staying off site?:
Select One
No
Yes
If yes, please give contact information where you will be staying:
Number of vehicles at site (trailers and RVs are considered a vehicle):
Select One
1
2
License plate numbers for each vehicle:
Will you (your family) be joining us at Sand Harbor on July 20?:
Select One
Yes
No
Is this your first time to Family Camp?:
Select One
No
Yes
CAMPER/DAY USE INFORMATION Please list names and information below for ALL persons who will be staying at your campsite, or joining us for Day Use and/or Sand Harbor Day. (Maximum 8 people at each site) List first and last names of each camper/participant, list age if under 20, indicate wether children ages 5-9 will attend Children's Chapel, and Children's Craft Time.
First and Last Name
Age
Children's Chapel
Crafts
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
Select Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Over 19
Select One
No
Yes
Select One
No
Yes
VOLUNTEER OPPORTUNITIES Please list 3 volunteer choices for each person over 16 years of age, or older.
1st, 2nd and 3rd volunteer choices.
First and Last Name
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Click the button to submit this form. You will have the opportunity to pay in the following ways: 1. Now, after you click SUBMIT. 2. Later at www.northcreekbooks.com. 3. In person in the NorthCreek Bookstore open M-F and Sunday, 8:30am - 1:30pm Registration will not be completed until the payment is received. The payment time will affect and determine the order in which we offer site selections.