Question Title

* 1. Please enter the following information:

Question Title

* 2. Email address: (if you do not have an email address, please enter the email of a relative or friend so we can send you the camp schedule and other relevant information.)

Question Title

* 3. If you are a long term site holder, please enter your site number here.  If you are not a long term site holder, please skip to the next question.  

Question Title

* 4. If you are not a long term site holder, please enter your lodging needs;  either the camping unit type and size, or if you are requesting a room in Aspen, Birch or the Longhouse.  We will contact you by email to offer you site options.

Question Title

* 5. Please enter the number of children in each age group that will be coming to Camp with you (even if it is only for part of the week):

Question Title

* 6. Please enter the names of the  children in each age group that will be coming to Camp with you:

Question Title

* 7. Please enter the number of adults (including yourself)  in each age group that will be coming to camp with you (even if it is only part of the week):

Question Title

* 8. Please enter the names of the  adults (including yourself)  in each age group that will be coming to camp with you (even if it is only part of the week):

Question Title

* 9. By initialing below, we signify we have read and will abide by the Community Guidelines and agree everyone in our group will release and hold harmless the Church of the Nazarene Canada West District and Camp Harmattan.

Question Title

* 10. Please select the nights you will need the site.  Early Bird cost is $40 per night.  After June 15, the cost is $45 per night.  (If you wish to register for casual camping for the night of Aug 11,  use the link you received by email to register directly with Camp Harmattan.)

Information about Meals and Coffee Cabin cards will be sent to you soon! 

Question Title

* 11. We need volunteers.  Please let us know if you or someone in your group are willing to help in any of the following areas:

Question Title

* 12. Donations to help those with financial need attend Family camp are welcomed.  If you would like to make a donation, please enter the amount here and add that to the total you pay.  You will receive a donation receipt for this amount.

Question Title

* 13. Enter the total amount owing.  First, calculate $40 x number of nights, plus any donation amount you are giving, then enter the dollar amount into the box below.  (You must enter a whole number.  ie:  $360.00 must be entered as 360)

Question Title

* 14. Please indicate your payment method.  Full payment must be made prior to July 15.  

Cheques made payable to CWD COTN  (Canada West District Church of  the Nazarene) may be sent to 1243 Erin Dr. SE, Airdrie, AB, T4B 2H3. 

E-transfers may be sent to nazarene@telus.net.  

If you are paying by cheque or E-transfer, indicate this below, then select "Next" at the bottom of the page to proceed.

Question Title

* 15. If you are paying by credit card, enter the amount you will be paying  now below.  You don't have to pay it all now. You must enter a whole number.  (ie: $40.00 would be entered as 40)

Select "Next" to continue.

CA$
Minimum amount: $40 CAD
You will pay at the end of this survey.

T