Sr. High Winter Retreat Registration

Sr. High Winter Retreat

Parent's Email

Camper's First Name

Camper's Last Name

Street Address

City

Region/State/Province

Postal / Zip code

Birthday

Would the camper like to request a cabinmate? If yes, list the other camper's full name. Both campers must request each other on their registration forms.

If "Other" above, please list the full name and address of the camper's church, if they attend one. All campers are welcome, whether they attend a church or not.

Full Name of Parent/Guardian 1

Is the address for Parent/Guardian 1 the same as the camper's?

Yes

Full Address for Parent/Guardian 1 (if different from camper's)

Cell Phone for Parent/Guardian 1

Email Address for Parent/Guardian 1

Full Name of Parent/Guardian 2

Is the address for Parent/Guardian 2 the same as the camper's?

Yes

Full Address for Parent/Guardian 2 (if different from camper)

Cell Phone for Parent/Guardian 2

Email Address for Parent/Guardian 2

Hope Conference and Renewal Center (Camp Hope) is an outdoor ministry of the Moravian Church, Eastern District

Sr. High Winter Retreat