Registration Form

Registration deadline for the October camp is AUGUST 15, 2010!

ONE CHILD PER REGISTRATION FORM

* = Required

Camper's First Name * Camper's Last Name *

Birthdate:

Sex: Female
Male

Address Address 2 City Zip Phone Camper's Church, and its Location Parent or Guardian's Name Parent or Guardian's Work Phone Parent or Guardian's Cell Phone Parent or Guardian's E-mail * How did you hear about us? Name of Person Lost Cause of Death Relationship to Child How long ago? How many adults attending camp? Request a scholarship

Limited scholarships for Camp Carey are available. Scholarships will be awarded based on need as assessed by Camp Carey staff. All decisions are final.

The cost of the camp is $90 US.

Mail Checks To:: Camp Carey - ATTN: Registrar; 6826 W. 84th Circle, Suite 14; Arvada, CO 80003

Registration Form

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