Middle School Camp Registration 2017
 
Middle School Camp Registration 2017
Your Last Name, First Name  * 
Student First and Last Name  * 
Phone Number  * 
If you are paying the deposit enter $55.00 in the box below (deposit of $50 plus $5 handling fee)
If you are paying the total amount enter $265 in the box below (registration of $260 plus $5 handling)
Enter the amount in the box  * $ 
If you need a receipt print this form
If you have questions please call Pastor Josh 503-656-8582 ext 104
Your Email Address  * 
Total $
 
 
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