YOUNG ADULTS' RETREAT REGISTRATION

YOUNG ADULTS' RETREAT REGISTRATION

September 1-4, 2023
Name:*

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

Address

Address Line 2

CityState / Province

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

Church Information
Church Name:
Pastor's 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
Church I'm Coming With:
(if different)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Accommodations
Requested accommodations (this is on a first-come first-serve basis):

CabinBunk HouseTeepeeBringing RVBringing TentOther

Agreement
I have read the “General Information” given on the website and I will agree to abide by all the camp rules including bringing no pets. I will assume full responsibility for my physical welfare, the physical welfare of my family members, and will not hold Treasure Mountain Bible Camp liable in case of sickness or accident.
Signature*

Clear

Payment & Submission
This registration form is complete when submitted with a $50.00 registration fee. (Register on or before August 1st to receive $15 off your registration fee!) Please pay the Registration Fee below OR, if desired, pay the Full Camp Fee.

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

Registration Fee or Full Camp Fee

Registration Fee Only

$50.00 Quantity

Full Camp Fee (includes registration fee)

$160.00 Quantity

Enter coupon

Total

$0.00

Credit Card

Should be Empty: