Name:
Email Address:
Phone Number:
Address (Street, City, Prov, Postal Code):
Arrival Date:
Departure date:
If you have children who will be attending our Children's Services, please list their name(s) and age(s) in the space to the right. A Child Registration form will need to be filled out and signed by a parent or legal guardian prior to their participation in one of our Children's Services. This form will be available when you arrive or it can be downloaded from our Camp 2010 page and mailed in or brought with you when you come.
Please select one of the following accomodation options and we will do our best to secure your request: Serviced Trailer/Tent Sites
Non-serviced Trailer/Tent Sites
White Dorm Rooms
Cabin
Staff/Beach House
New Retreat Centre Dorms
None required

A $25 deposit must accompany your registration. This is a refundable deposit until June 1st, 2011. Registrations must be confirmed by contacting our registrar, Mrs. Chantell Poulain.

Make Cheques Payable to: Mount Zion Church

If you choose to pay using a credit card, you can fill out the information requested below and we will process your credit card payment.
Amount $:
Choose a payment option: Mail a Cheque
VISA
Master Card
Credit Card Number:
Expiry Date:
Name on Credit Card:

Thank you for your registration information. We look forward to seeing you and serving you at Camp this summer. God Bless!

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Mount Zion Camp 2011 Online Registration Form