CAMP K RETREAT FINAL PAYMENT

Please fill out this form and click submit.

Church Information

City of Church

Name of Pastor

Name of Leader

Personal Information

Name of Attendee

This address will receive a confirmation email

Upload Signed Waiver Form

1 - Download the wavier form - CLICK HERE
2 - Fill out the form for each person.
3 - Take a photo and upload it below.

Upload Waiver

Upload (8MB)

Registration

IF DEPSOIT HAS BEEN PAID
Please submit the remaining $175 for every person ages 4 and up. (Adults and Students)
- $100 Deposit per person due Friday, June 4th
- Remaining $175 per person due Monday, July 19th

IF DEPSOIT HAS NOT BEEN PAID
Please submit the full $275 for every person ages 4 and up. (Adults and Students)
- All money due Monday, July 19th

Remaining Payment

Optional Activities

Rockwall & Zipline = $25 - DOWNLOAD Consent Form
Horseback Riding = $30 - DOWNLOAD Consent Form

Rockwall/Zip-line Payment

0 ($0) 1 ($25) 2 ($50) 3 ($75) 4 ($100) 5 ($125) 6 ($150) 7 ($175) 8 ($200) 9 ($225) 10 ($250) 11 ($275) 12 ($300) 13 ($325) 14 ($350) 15 ($375) 16 ($400) 17 ($425) 18 ($450) 19 ($475) 20 ($500) 21 ($525) 22 ($550) 23 ($575) 24 ($600) 25 ($625) 26 ($650) 27 ($675) 28 ($700) 29 ($725) 30 ($750)

Amount

Upload Rockwall & Zipline Consent Form

Upload (8MB)

Horseback Riding Payment

0 ($0) 1 ($30) 2 ($60) 3 ($90) 4 ($120) 5 ($150) 6 ($180) 7 ($210) 8 ($240) 9 ($270) 10 ($300) 11 ($330) 12 ($360) 13 ($390) 14 ($420) 15 ($450) 16 ($480) 17 ($510) 18 ($540) 19 ($570) 20 ($600) 21 ($630) 22 ($660) 23 ($690) 24 ($720) 25 ($750) 26 ($780) 27 ($810) 28 ($840) 29 ($870) 30 ($900)

Amount

Upload Horseback Riding Consent Form

Upload (8MB)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

CAMP K RETREAT FINAL PAYMENT

Description

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