|
2007 SUMMER CAMP
REGISTRATION FORM |
Name of Summer Camp
Participant:
First Name:
_____________________ Last Name:
_________________________
Age:
_______________ Date of Birth: __________________
Gender: __________
By registering my
child, I consent to the use of images of the likeness of my
child
in Resurrection
Center publications and press releases.
Parent or Guardian
Signature:__________________________________________
Address:
_____________________________________________________________
____________________________________________________________________
Phone:
(_____)_____________________ Fax:
(_____)______________________
E-mail Address:
_______________________________________________________
Which 2007 session
would you like to attend?
______
Session I
AGES 12-13 July
9 - July 12,
2007 $225
______ Session II
AGES 8-11 July 16 - July
19, 2007
$225
Fee includes room, board
and all materials. Financial assistance is
available*
______ $25 down payment
(required)
OR
______ $225 payment in full
(Make check payable to: Resurrection Center)
_____ Check here if you are in need of financial
assistance*
How did you hear
about the Summer Program?____Church ____School
____Friend
|
Please
print out and mail the completed online registration
form
to RESURRECTION CENTER Summer
Program
2710
South Country Club
Road
Woodstock, IL
60098 | |