Family/Quilt Camp Registration

 Please print. Use one form per program. Send this form with deposit
(checks payable to Hope Center) to: (Donations accepted for Mission Camp)
Hope Center, P.O. Box 165, Hope NJ  07844

         Name_____________________________________________________________
         Registering for (Program)_____________________________________________
         Address___________________________________________________________  
         City___________________________________ State ________Zip____________
         Day Phone (____)___________________Evening Phone(____)________________
         Cell Phone(____)___________________ Email___________________________
         Home Church & Denomination__________________________________________
         City_____________________________________ State______________________

         m Memorial Day Family Camp, please complete the following (check all that apply)
    m Cabin # requested________________       m Site # requested_____________
    m Cabinmate request________________________________________________
    m Tent/Trailer w/electric                                m Tent/Trailer w/o electric
                  Please use a separate sheet to list the
                  name, address and gender of adults and children attending. 

       m Quilt Camp    (No early registration discounts available for this camp.)

            I plan to attend for the following days/nights:  mALL

                mWed./day  mThurs./day  mFri./day  mSat./day

                mWed./night  mThurs./night  mFri./night  mSat./night