Boiling Springs Christian Service Camp

2015 Church
Pre-Registration
Form
Boiling Springs Christian Service Camp
Date
Church Information
Contact person
Phone Number
Church
Street address
City
State
1st and 2nd Grade Camp
Male Staff
Female Staff
Boys
Girls
Total Campers
@ $35
3rd and 4th Grade Camp
Male Staff
Female Staff
Boys
Girls
Total Campers
@ $75
Zip code
5th and 6th Grade Camp
Male Staff
Female Staff
Girls
Boys
Total Campers
@ $100
7th through 9th Grade Camp
Male Staff
Female Staff
Boys
Girls
Total Campers
@ $125
10th through 12th Grade Camp
Male Staff
Female Staff
Boys
Girls
Total Campers
@ $135
Total Amount
Number of 2X and 3X
shirts ordered
@ $5 ea
Amount Enclosed
Method of Payment
Check
Check Number
Online
To pre-register send ONE CHURCH CHECK for the above amount to:
Boiling Springs Christian Service Camp
P.O. Box 884
Woodward, OK 73801
or to pay online, go to www.boilingspringscamp.net and select pay online.
If you pay online, send the completed form and the e-mail confirming you've paid to
registration@boilingspringscamp.net.
Registrations received after May 18 will need to add $15 per camper.
2015 Form For Ordering Shirts
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
$5.00 extra
Adult 3X
$5.00 extra
Total Number of Shirts
Ordered
Person Submitting
Order