Clive Baptist Church

Family Camp 2022

• Name*
• Mailing Address
  Street Address

  Address Line 2

  City

  Province / State / Region

  Postal Code / Zip

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  Country
• Phone Number*
   
• Email Address*
   
• Registering for the Weekend or Day Only:*
  **There are limited rooms available for the Shared Hotel Style so if it is no longer displayed below then the rooms are full**
  
  Personal Trailer

  Personal Tent

  Day Arrival only
• # of Adults Attending
• # of Kids Attending Ages 0-5
  Please enter the number of Children in this age group that will be in attendance with you. Put zero in the space if there are none.
• # of Kids Attending Ages 6-11
  Please enter the number of Children in this age group that will be in attendance with you. Put zero in the space if there are none.
• # of Kids Attending Ages 12-17
  Please enter the number of Children in this age group that will be in attendance with you. Put zero in the space if there are none.
• Cost Summary*
  Please indicate in the space below, your total to attend the camp using the cost summary below.
  Early Bird Price: $60.00/Adult
  After August 15th: $70.00/Adult
  Kids: Free!
  Day Rate Only: $30/Adult
  All payments should be made to Clive Baptist Church either during office hours or placed in the indicated box at the Church, in the Narthex
• Allergies or Medical Information
  Please list if there are any allergies or medical information that we should be aware of. Thank you.
• Notes