Page 15 - Sugar Creek 2018 Program
P. 15

2018 FAMILY EVENTS REGISTRATION (NOT FOR SUMMER CAMP)



               n  Family Camp, Session 1 (Sunday-Wednesday): July 1-4 OR n  Family Camp, Session 2 (Sunday-Wednesday): August 12-15
                 Please check Housing Request in order of preference (based on availability and needs.)
           NOT FOR SUMMER CAMP REGISTRATION! SEE PAGE 8!
                 n  Bring your own RV or Tent .................................................   $120/person or family maximum of $500
                 n  Platform Tent or Covered Wagon ....................................   $120/person or family maximum of $500
                 n  Seeker or Frontier Town Cabin .........................................   $130/person or family maximum of $550
                 n  Retreat Center, Koinonia Lodge, Manna Center ...............   $140/person or family maximum of $600
                 n  Log Cabins .................................................................................   $150/person or family maximum of $650
                        FAMILY MAXIMUMS APPLY TO IMMEDIATE FAMILY ONLY. Children under 5 by time of camp are free!
               n  Grandparent-Grandchild Camp: August 16-18 .......  $130/Person  Credit Card Information     Visa   Mastercard   Discover
               n  Parent-Child Horse Camp: August 16-18 ............... $130/Person  Amount to Charge $ ______________________________________
              Total Cost ________________________________________    Card # _________________________________________________  EVENTS REGISTRATION
              Family Members Attending Camp:                         Expiration Date ______________________ CV2# ______________
              Adult(s):  _________________________________________   Cardholder's Name (printed) _______________________________
              Address:  _________________________________________    Cardholder’s Signature ____________________________________
              City: _______________________________  State ____   Zip  ___________   Phone  __________________________
              E-mail: __________________________________________    Home Church and Town _______________________
              Children:  ___________________________________________    Age _________   Grade in Fall ‘18  __________
                       ___________________________________________      Age _________   Grade in Fall ‘18  __________
                       ___________________________________________      Age _________   Grade in Fall ‘18  __________
                       ___________________________________________      Age _________   Grade in Fall ‘18  __________
                       ___________________________________________      Age _________   Grade in Fall ‘18  __________
              Emergency Contact for someone NOT at camp with you:
              Emergency Name _____________________________   Emergency Phone Number __________________________
              Health Insurance Co. ___________________________   ID Number _______________________________________
                                    Please send this form with at least a $100 deposit to: Sugar Creek Bible Camp



                            2018 RETREAT REGISTRATION (NOT FOR SUMMER CAMP)



              Retreat registering for: __________________________  Health insurance company ________________________
              First Name  _____________________________________   Policy # _______________________________________
              Last Name ______________________________________    Allergies  _______________________________________
              n  Male n  Female Grade _____ Birthdate ___________  Prescription Meds ________________________________
                                                                  Medical needs ___________________________________
              Address ________________________________________    If participant is under 18, see below:                 RETREATS REGISTRATION
              City ___________________________________________
                                                                  Parent/Guardian Name(s)  ________________________
              State ____________________  Zip  _________________  ______________________________________________

  September 8, 2018 NOT FOR SUMMER CAMP REGISTRATION! SEE PAGE 8!  Phone #1 _______________________________________  Parental Permission: This form is correct as far as I know. The
              Phone #2 _______________________________________    person herein described has permission to engage in all camp
                                                                  activities, except those noted on this form. In the event of an
              E-mail _________________________________________    emergency and I cannot be reached, I give permission to the
                                                                  physician selected by the camp to give necessary medical
              Home Church and Town ___________________________    treatment to the person listed above.
              Emergency Contact Name _________________________    Parent/Guardian Signature ________________________
              Emergency Contact Phone  ________________________   Date __________________________________________
              Roommate Request(s) ____________________________
              Individual Retreat Registrations are also available on our website:   n  I also give the camp permission to use photos of myself or my
              www.sugarcreekbiblecamp.org                           child in promotional publications.
                                 Please send this form with at least a $25 deposit to: Sugar Creek Bible Camp
             For by grace you have been saved, through faith – Ephesians 2:8                                        15






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