Church Registration Form

LaVerne Griffin Youth Recreation Camp

 

Registration must be mailed to LaVerne Griffin Youth Recreation Camp by ___________ for ______________ summer camps

 

Name of Camp: _____________________________________________________

Cost: $150 per camper; $100 for Chaperone/Counselor

 

Name of Church: ____________________________________________________

Association: _________________________________________________________

Person Sending in Report: _____________________________________________

Phone: _____________________________________________________________

 

Name of Campers	Age	Grade Completed	Camp Fee Paid	Check if there are medical issues
1.                                 Chaperone
2.                                 Chaperone
3.                                 Chaperone
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.

Souls Saved... Lives Changed

LaVerne Griffin Youth Recreation Camp

 

 

 

For More Information Contact Us at: