Work Weekend Registration Form

	Work Weekend Registration Form

Family Information / Group Leader Info.

Contact Person Full Name
Home Address
Address		E-mail Address
Address
City, State, Zip
Country		Church Affiliation
Home or Work Phone		Church Name
Cell Phone		Church Location

Weekends

Check all weekends for which you are registering.

May 22-25

May 29-31

June 12-14

Sept 4-7

Family Members Coming With You

Names of family members coming to camp with you	Gender		Age
	Male Female		18 or older 6-17 5 and under
	Male Female		18 or older 6-17 5 and under
	Male Female		18 or older 6-17 5 and under
	Male Female		18 or older 6-17 5 and under
	Male Female		18 or older 6-17 5 and under

Skills or Expertise

Carpenter

Landscaper

Painter

Kitchen Worker

Licensed Electrician

Licensed Plumber

Licensed Heavy Equipment Operator

Other Comments:

Groups

How many Female Teens? How many Female Adults?
How many Male Teens? How many Male Adults?

Any other questions or concerns:

RETURNING STAFF

My group/family and I understand the importance and will adhere to camp safety regulations and the directions given by camp leaders. We may be photographed, and pictures may be used for promotion and publication.

By clicking "Submit Form" I am indicating both that I understand and agree to the above.

Work WeekendRegistration Form

Home Address

Church Affiliation

Work Weekend
Registration Form