FOR OFFICE USE ONLY:   PC#            $       /      CC#               $        /         SWC $                DATE:

2008 CAMP REGISTRATION FORM

Southwest Conference United Church of Christ

Camper’s Name:

 

Parent/Guardian

 

Mailing Address:

 

      Names:

 

City:

 

Best Contact Info: 

State:

 

Zip:

Home Phone(s)

 

Birth date:

    /     /        

£ Male   £ Female

 

 

Grade entering (Fall ’08)

 

Work Phone(s)

 

Home Church:

 

 

 

Prefers to be called:

 

Cell Phone(s)

 

Home phone:

 

 

 

Cell phone:

 

Parent’s Email(s)

 

E-mail:

 

 

 

T-shirt size:

Youth:  £  Med.     £ Lg.    Adult:    £ Sm.     £Med.    £Lg.     £1X    £ 2X    

Camp for which you are registering:   £ Young Juniors (6/15-18, 2nd-3rd grd)    £ Juniors ( 6/15-20, 4th-6th grd)

                                                                      £  Junior High (6/15-20, 7th-9th grd)     £ Sr. High (6/29-7/5, 9th-graduate)

 

Have you previously attended camp a Southwest Conference camp?  £ No    £Yes, for ________yrs. 

CAMP FEES:

 

REGISTRATION

FEES:

Young Junior Camp:  4 days $160  (Early discount before April 30: $150)

Junior  & Junior High Camps :  6 days  $330  (Early discount before April 30:  $300)

Senior High Camp:   7 days  $350  (Early discount before April 30:  $315)

     Final Registration Deadline for ALL CAMPS is MAY 15

                                                               YOUR FULL CAMP FEE: $_________

TRANSPORTATION:

ARRIVING at camp by:  £  Camp bus from Phx ($25)       £ Car   

 

LEAVING camp by:       £  Camp bus to Phx ($25)            £  Car

                                (Bus round trip $50)                                        +$ _________

AIRPLANE INFO:        £  Need transport from Airport to bus   £ Need  transport from bus to Airport

Airport arrival date: ___________      Time:___________      Airline_____________  Flight______

Airport departure date:_________     Time:___________     Airline______________ Flight______

 

 

 

TRAVEL POOL Assistance:  £  I would like travel pool assistance and will submit an airline

receipt for mileage to the Southwest Conference Office following camp to be reimbursed

                                    (Available to New Mexico and Texas campers)

 

 

 

CAMPERSHIP Assistance:   £ I have applied for  a SW Conference Campership and have

                                                        attached that form.       Financial Assistance from SW Conf:  --$_________

                                                                                 Financial Assistance from my church  --$_________

(Please make your check payable to your local church)        TOTAL CAMPER PAYMENT:             $_________

(If you are not registering through a local UCC church, please see instructions on page 4 of the Camp Brochure)

 

The undersigned people have read the camp guidelines (located on pgs 5-8 of the brochure) for participating at camp and agree to abide by those guidelines.  We also understand the  Southwest Conference uses PHOTOS of campers in brochures, newsletters, and publicity materials.            (£ Please DO NOT use photos of my son/daughter)

Signature of  Pastor:

Signature of  Camper:

Signature of  Parent: