Family Camp Registration

Please provide the following information:

Family Name
Street Address
Address (cont.)
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
E-mail

 

Individual Campers Name

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes   T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

 

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes   T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

 

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

 

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

 

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

 

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

 

First Name
Last Name
Age	Child Under 3 Youth/Child Adult

Cave Tour     No Yes T-Shirt Size  2T 4T 5/6 7/8 10/12 14/16S M L XL XXL XXXL

Optional Event Registration

Canoeing / Raft Rental:

2 person canoe $40.00   number:

3 person canoe $45.00   number:

6 person raft  $100.00    number:

Can you help another family attend this event? Amount:  

We would like to attend but may need financial assistance up to Amount:   

Payment should be mailed to:

Family Camp
St. John's Lutheran Church
3517 Jeffco Boulevard
Arnold. MO 63010