Registration Form...

Camp Scrap

April 19 - 22, 2012                Camp Gilead (Polk City, Fl.)

Name ___________________________________________________________________

Address _________________________________________________________________

________________________________________________________________________

Phone # _________________________________________________________________

E-mail ___________________________________________________________________

Shirt Size __________  Roommate_____________________________________________

Cost:      $200.00 (Paid by March 1, 2012)     (14 single twin beds available, first come first serve) 

              *Price is subject to change.

              AFTER March 1, 2012 THE PRICE WILL BE $250 - SHIRT NOT GUARANTEED!

Deposit:  $50.00 due immediately to hold your spot

                 PAYMENT PLANS CAN BE SET UP - MAKE IT EASIER ON YOU BY PAYING $50 A

 MONTH  

All money is non-refundable but you may find someone to take your place and receive a refund. 

You will have 2 weeks to find a replacement. 

Please make checks payable to:      Jannah Foster

Mail checks to:      Jannah Foster

                             7079 Oakbay Dr.  

                             Noblesville, IN 46062