Family Camp Reg. Form

Family Camp Registration

Account Holder: Full Name

List Adult(s) participants

List your attending children's names, grade and gender

Daytime Phone Number

Mailing Address

Requested Lodging (pick one)

Cabin Sharing Option (pick one)

Specific Family Sharing (Name Family)

Fee Schedule (pick one)

Optional Fee (click if required)

Chi Rho Lodge use fee: $125 per adult

Non-Family member fee $260

Non-Family child name, age, grade: please list. Immunization list required for attendance.

Optional Fee (Click to request: Director's Approval Required)

Visitor Day Pass: $50 per person (will be issued a day pass to wear)

Please describe any interests, skills and/or talents you will be bringing to Family Camp and are willing to share . . . .

Message to the office . . .

VIEW our 2012 Summer Schedule!

CLICK HERE for ONLINE CAMPER REGISTRATION

Summer Camp

THIS FORM IS THE ONLY WAY TO REGISTER FOR FAMILY CAMP

Fowler Camp & Retreat Center

1790 Grand Blvd.

Schenectady, NY 12309

Family Camp Consent form

Click HERE to download

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