TWO MAIL-IN OPTIONS:

(1) EMAIL OPTION Fill-in this MAIL-IN REGISTRATION FORM (by your computer or copy and fill out by hand). If it is typed just save it and send it as an attachment to your email to the REGISTRAR (whitesandie7@gmail.com). If you complete it by hand, you can scan it and email it and send it to the Registrar.

(2) LANDMAIL OPTION Take the typed (printed) or handwritten MAIL-IN REGISTRATION FORM and send it by US Postal directly to the Registrar (Sandie White: 5603 S 92nd E Ave., Tulsa. Oklahoma 74145) along with your payment.

PAYMENT amount is determined by completing the FORM below. A CHECK or MONEY ORDER for the total amount, should be sent by Land-mail. To Receive the discounted fee (Early Bird) you must have the FORM and PAYMENT post-marked by May 31, 2020.

After you have sent the registration and payment, you will receive a WELCOME LETTER from the Registrar as a confirmation of your completed registration. Attached to this confirmation letter will be request for additional medical and insurance information to bring with you to camp.

REGISTRANT(S) AND PRIMARY ADDRESS:

Street/P.O. Box	City	State/Province	Country	Zip Code/Mail Code

Registrant(s)

Last Name	First Name	HOME PHONE	CELL PHONE	E-MAIL ADDRESS	DOB	Grade in fall 2020	PriesthoodOffice	Reg Youth Worker

HOUSING OPTIONS: Please “x” one

____LODGE: Lodge rooms will be assigned on a first-come, first-serve basis. (Top floor medical needs.) The rooms in the lodge accommodate 4 people (2 bunks), with shower, sink and toilet, and are air conditioned. (Only 2 handicapped rooms). You must bring your own bedding and towels.

____CABINS: There are 6 cabins, each with 3 bunk beds and accommodates 6 people. There are 4 cabins, each with 4 bunk beds and accommodates 8 people. A/C included. Male and female bathhouses are within walking distance. You must bring your own bedding and towels.

____RECREATIONAL VEHICLES: RV full hook-ups are available.

ROOMMATE PREFERENCE(S): >>

LODGE COSTS: Includes meals & activities for the week Registration Received by May 31: $125/Person/19+ years old Registration Received after May 31: $150/Person/19+years old (1) Total Number 19+ Per Family _________ (2) Total Number of Children and Infants Under 19 ___________ (3) Children with guardianship (w Parental signature) ___________ (CHILDREN UNDER 19 ARE FREE) LODGE FEES: Line (1) x Amt $125, or $150) _----> $ _______	CABIN /OR RECREATIONAL VEHICLE COSTS*: Registration Received by May 31: $95 Person/19+ years old Registration Received after May 31: $110/Person/19+years old (Includes Lodging, Meals, and Activities For The Week) (1.) Total Number Per Family 19+ _________ (2.) Total Number of Children and Infants Under 19 ___________ (3) Total Children=temporary guardianship___________________ (CHILDREN UNDER 19 ARE FREE) CABIN FEES: Line (1) x Amt $95, or $110) = --------->$___

ATTENDING PART TIME: Age 19+ Please “X” The Day Or Days Below: □ Sun □Mon □Tues □Wed □Thurs □ Friday *Daily Fee For Part Time Includes Meals and Activities For All Daily Attendance no housing $20 Per Day/Per Person Daily Attendance for Overnight Lodging $25 Per Night/Per Person (1) Total Number Per Family _________ (2) Total Number of Children and Infants Under 19 ________ (CHILDREN UNDER 19 ARE FREE) PART TIME FEES: Line (1) x Amt $20 or $25 = $

LOVE OFFERING FYI

A love offering will be received to cover actual costs, which are significantly more than what is being charged per person.

FINANCIAL PARTNERSHIP OR SPONSORSHIP

For information on Financial Partnerships or if you or your congregation would like to be a Sponsor for a participant, contact Lisa Rosser: Phone: 979-774-5650 or by E-Mail: Richard.rosser@suddenlink.net

____________________________________________________ Total Payment A or B or C = Amount Due $___________________ >>>>>>>>>> PLEASE NOTE: IF FINANCIAL ASSISTANCE IS NEEDED PLEASE INDICATE HERE: _______________	___________________________________________ Make Check or Money Order to CCM. Combine payment with the Mail-In Registration (this form) unless you have sent it by Email. SEND TO: Registrar: Sandie White: 5603 S 92nd E Ave., Tulsa. Oklahoma 74145/ whitesandie7@gmail.com 918-730-8689 (leave a message for call back)

SPECIAL NEEDS OR REQUESTS

Lodging, including medical needs, ambulatory (motor carts, wheel chairs, walkers), dietary, etc: ____________________________________________________________________________________________________

____________________________________________________________________________________________________
Are you able to sleep on top bunk? (List names of those able) ________________________________________________

Special Ministry For Evangelist Blessings/Individual Prayers for Discernment: (Please note your request here and sign up at the registration desk) ________________________________________________________________________________________________________________________________________________________________________________________________________

Special Gifts and Talents You Would Like To Share At Celebration: ________________________________________________________________________________________________________________________________________________________________________________________________________