md-registration

Mother & Daughter Retreat 10/5/18-10/7/18

The weekend includes: 2 nights lodging, 6 meals beginning with dinner on Friday and ending with an amazing brunch on Sunday, seminars, chapel, program activities, evening snacks and a t-shirt.
Please fill out this registration form and send a $50 deposit per person. Full payment is due on or before arrival.

Lodging Options

Ponderosa Cabins (bathrooms centrally located)

Before Sept 5th:
$165 per person 10 years and older
$82.50 per child 5-9 years old
After Sept 5th:
$185 per person 10 years and older
$92.50 per child 5-9 years old

Gold Rush Cabins (bathrooms located inside cabins)

Before Sept 5th:
$175 per person 10 years and older
$87.50 per child 5-9 years old
After Sept 5th:
$195 per person 10 years and older
$97.50 per child 5-9 years old



I would like to share a cabin with the following people:

Family Information

Mother's First Name (required):

Mother's Last Name (required): DOB:

Grandmother's Name: DOB:

Address:

City: Zip:

Phone:

E-mail:

Names of Daughters with Date of Birth(required)

1.DOB

2.DOB

3.DOB

4.DOB

5.DOB






Shirt Sizes

Children S (6-8): Children M (10-12): Children L (14-16):

Adult S: Adult M: Adult L: Adult XL: Adult XXL: Adult XXXL:

* Please note - T-Shirt size is not guaranteed if registration takes place after Sept 6th, 2017

Payment

Payment Amount:

Payment Type:

Make checks payable to “CSBC”, include "Mother / Daughter" in the note field, and mail to:
Jenness Park Christian Camp
29005 Highway 108
Cold Springs, CA 95335

To pay by Credit Card:
Call Candace: 1-800-258-7554 ext 101

*you will receive a confirmation email with additional payment information