Youth Fall Retreat - Sept. 8-10, 2017

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


Payment

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

Donation

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

Camper's Name:
Donate Now Through CanadaHelps.org!

Option 2: Pay with Cheque or Cash at camp. 
Payment will be accepted at camp on registration day. 

Please make cheques out to Covenant Heights Bible Camp