Wayumi Camp Registration

Name First* Last*
Address
Street Address* Address Line 2 City* State / Province / Region* Postal / Zip Code* Country
Phone Number * - (###) ###-####
Email *
Church or group name
Church or group address
How many (counting youths and leaders) do you plan to bring?
Which 2010 camp would you like to register for? *
June 13-18 June 27-July 2 July 18-23
Please put us on the waiting list if there is no room for our group in the week of our choice.
Please notify me when 2011 camp dates are finalized.
Please note

Filling out this form reserves your space on the weekend of your choice, if space is available for your group. We will be in touch to help you finalize your registration, and will also quickly notify you if there is not room for your group on the date you have chosen. Thank you for your interest in Wayumi Camp!