Cornerstone Church
Men & Boys Camping Trip
Camp Registration Fee
*
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One Participant (Add $10.00)
Two Participants (Add $20.00)
Three Participants (Add $30.00)
Four Participants (Add $40.00)
Five Participants (Add $50.00)
Participant Name #1
Youth or Adult?
*
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Youth
Adult
If youth, what grade?
*
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6th
7th
8th
9th
10th
11th
12th
Participant Name #2
Youth or Adult
*
Choose Below
Youth
Adult
If youth, what grade?
*
Choose Below
6th
7th
8th
9th
10th
11th
12th
Participant Name #3
Youth or Adult?
*
Choose Below
Youth
Adult
If youth, what grade?
*
Choose Below
6th
7th
8th
9th
10th
11th
12th
Participant Name #4
Youth or Adult?
*
Choose Below
Youth
Adult
If youth, what grade
*
Choose Below
6th
7th
8th
9th
10th
11th
12th
Participant Name #5
Youth or Adult?
*
Choose Below
Youth
Adult
If youth, what grade?
*
Choose Below
6th
7th
8th
9th
10th
11th
12th
Parent's Name:
Phone Number:
*
Your Email Address
*
Total
$
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