Teen Camp - July 16-22, 2017

Name *
Name
Birthdate *
Birthdate
Address *
Address
Phone *
Phone
Parent/Guardian's Contact Number *
Parent/Guardian's Contact Number
Parent/Guardian's Contact Number (2)
Parent/Guardian's Contact Number (2)
Alternate Contact Number *
Alternate Contact Number
$
$
$
Please pay via the PayPal link below or by bringing cash/cheque to camp registration.
$

*Please submit this form before moving on to payment and donation options. Thank you!


PAYMENT

Option 1: Credit Card through PayPal.
Please use this button. 

Camper's Name:

Option 2: Pay with Cheque or Cash at camp. 
Payment will be collected at registration. 

Please make cheques out to Covenant Heights Bible Camp

DONATION

If you would like to give a donation to camp today, you can do so on-line at Canada Helps.

Donate Now Through CanadaHelps.org!