Camp Registration Form

« * » indique les champs nécessaires

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CG Email

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Conferences Email

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IO Email

Young at Heart ID

Newness of Life ID

Couples Advance #1 ID

Couples Advance #2 ID

This registration is for:*

Do you attend a Way Ministry home fellowship?*

Yes

Please enter the name of the person that attends a Way Ministry home fellowship that you’re a guest of.*

Your Name*

Prénom 2ème prénom Nom

Name Tag Name*

Gender*

Male

Female

Your Date of Birth*

Where do you live?*

Adresse postale Ville State/Province/Region ZIP / Code postal Pays

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Additional participants title readback

How many guests will be coming with you?

Veuillez saisir un nombre supérieur ou égal à 0.

Please enter the following for each person that is coming with you:

First Name

Last Name

Date of Birth

Relation

Gender

Name Tag Name

E-mail*

Are you willing to share a room with other guests?*

Sharing a room will reduce your housing cost.

Yes

Autre

Phone Number*

Please list the best number to get in contact with you.

Do you, or anyone coming with you, have any physical circumstances or conditions (for example, height, weight, mobility) that will require special seating considerations?*

Yes

Please describe the special seating consideration in detail, noting the name of whom it applies to.

Additional Notes

Is there anything else you would like to tell us?

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