CE Board Camp Registration Form

Camp week

Encounter Teen Week 1 Encounter Teen Week 2 Encounter Kids 1

Church Name

City

Group Leader

This address will receive a confirmation email

Phone

Anticipated Attendance

*Sponsor numbers are to include cooks for each camp.
*Encounter Kids Sponsors are anyone older than camper age (6th Grade) and will pay the sponsor rate.
*Pre-campers are any child from birth to 5th grade for Encounter Teens.
*Pre-Campers are any child from birth to 2nd grade for Encounter Kids.

Male Campers

Male Sponsors

Male Pre-Campers

Female Campers

Female Sponsors

Female Pre-Campers

Cabins

For Encounter Teen Only: If you have 30 campers are you interested in having a cabin to yourself?

Yes No

Please list churches you are interested in staying with

THIS REGISTRATION FORM IS REQUIRED FOR EACH CHURCH!
YOU MUST SEND IN A $1,000 NON-REFUNDABLE DEPOSIT TO HOLD YOUR GROUP'S PLACE AS SOON AS POSSIBLE.

IF YOUR TOTAL BILL COMES OUT TO BE LESS THAT $1000, SEND IN THE TOTAL AMOUNT FOR YOUR CHURCH.

Payment Options

Online Check

If you would like to pay online please go to the following link & select 'Give to Camp'. The total amount would then be $1,030.18.
PLEASE MAKE SURE TO CHECK THE BOX TO COVER THE PROCESSING FEE.
https://okfwb.breezechms.com/give/online

IF MAILING IN A PAYMENT PLEASE SEND TO:
TYLER DEZORT
204 SE 10TH STREET
PRYOR, OK 74361

For more information:
(580) 618-8667
tylerdezort.tgc.gmail.com
okstatece.org

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CE Board Camp Registration Form

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