Calvary Church

Please answer the following to complete your registration.

Student Name
Gender	Male Female
Father/Guardian's Full Name
Mother/Guardian's Full Name
School Attending in Fall
Grade in Fall
Home Phone
Cell Phone/Work Phone
Mailing Address
City
State
Zip
Student Email
Parent Email
Shirt Size
Church Name/City
Cabin Mate Request (Please List One Student)
I will atend Calvary Youth Ministry Senior High Camp - June 8-14 at the cost of $330 ($315 if deposit received by April 23)
I understand there is an additional cost of $10 to play paintball at camp. $10 covers the first 100 balls, then $5 after.
I understand that a parent/guardian and student must attend the mandatory meetings listed below.
Mid Rivers Campus June 1, 2008 12:15 pm in the Warehouse West Campus June 1, 2008 12:15 pm in the Youth Room
I understand that if we do not attend one of the meetings above, the student may be denied the opportunity to attend camp.
Family Doctor Name/Phone
Insurance Company
Policy Number
Cardholder Name
Allergies or Medical Concerns