SCOOTER CAMP REGISTRATION

SCOOTER CAMP REGISTRATION

June 23-24, 2023
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Requirements (C-Pap, Wheelchair Accessibility, Lower Bunk, etc.)

Church Information
Home Church
Church Address

Address

Address Line 2

CityState / Province

Postal / Zip Code

Group Information
Names of family members (please include the ages)*
Number in your party*

Accomidations
Requested accommodations (understanding that they are subject to availability and are on a first-come first-serve basis):

CabinBunk HouseTeepeeBringing RVBringing Tent

Agreement
I have read the “General Information” given on the web site, and I will agree to abide
by all the camp rules and will assume full responsibility for my physical welfare, the
physical welfare of the members of my family, and will not hold Treasure Mountain
Bible Camp liable in case of sickness or accident.
I also agree to not bring my pet(s) or food to the camp!
Signature*

Clear

Payment & Submission
This registration form is complete when submitted with the appropriate camp fees. (Register on or before June 3rd to receive $15 off your camp fees!)

If you prefer to pay with cash or check, please send your payment to the camp office: 1700 Marble Quarry Rd. Marble, CO 81623

My Products

Age 0-3 Full Camp Fee

$ Free Quantity

Age 4-8Full Camp Fee

$25.00 Quantity

Age 9+Full Camp Fee

$50.00 Quantity

Enter coupon

Total

$0.00

Credit Card

IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL WE DID NOT RECEIVE YOUR RESPONSE.
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