durley registration family camp 2017

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Family Camp 2017 Experience Family Camping June 3-9 A Week for the Family Saturday dinner through Friday evening service

Age Level Programming Speaker: Kenny Martin Housing options: camp owned cabins, Keffer Quad, rv,

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Cost of Family Camps= registration +housing+meals

Cost of Family Camps

Cost of Family Camps

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For more information, contact: 618-664-2584 or email: [email protected] or Visit our website: www.durleycamp.org

Family Camp Registration Form 1.Adult’s Name(s) : ___________________________________________________ Family Members and ages (of those under 18): _____________________________

_________________________________

_____________________________

_________________________________

2.Street Address: ____________________________________________________ City, State, Zip: ____________________________________________________ 3.Phone (Primary): ___________________________________________________ 4.Parent’s Cell Phone: ________________________________________________ 5.Home Church (if any): _______________________________________________ 6.Parent’s Email: ____________________________________________________ Confirmation and receipt of pre-registration will be sent via email, if provided.

7.Other Email: ______________________________________________________ 8. T-shirt size (may be purchased @$5/shirt): Please indicate how many shirts in each size. (youth size) [ ] small [ ] medium [ ] large (adult size) [ ] small [ ] medium [ ] large [ ] x-large [ ] xx-large

INVOICE:

[cost of camp = registration fee + housing + meals]

Family Camp WEEK

June 3-9

# of people ____ x $25

Housing:

type: ________________________

$

Meal plans for individuals and families can be chosen & paid for at Check-In.

(optional) 2017 T-shirts available to purchase Amount paid today must be $25 minimum to reserve housing. NON-REFUNDABLE

$

$5 x _____ t-shirts

Enclosed:

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$___________

Make Checks payable and mail to: Durley Camp, 1367 Illinois Route 140, Greenville, IL 62246