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Complete all sections below to request your Group Block Hold for Confirmation Camp 2020. 
*NOTE: $50.00 deposit per camper spot held due within 30 days after invoice 
received.*

<div style="text-align: center;"><span style="font-size: 14pt;">Complete all sections below to request your Group Block Hold for Confirmation Camp 2020. <br><strong><em>*NOTE: $50.00 deposit per camper spot held due within 30 days after invoice </em></strong></span><em><strong><span style="font-size: 18.6667px;">received.*</span></strong></em></div>

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* 1.
Congregation Information

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* 2. Billing Contact
NOTE: Crossways will mail an invoice to this Billing Contact reflecting a $50.00 deposit per camper spot (due within 30 days) to secure camper spaces requested. All deposits applied to final balances due. This person will also be contacted to collect final payments. 

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* 3. Primary Congregation Leader Information
NOTE: Primary congregation leader will be given a Login ID and link to manage list of registered campers at any time. Please ensure your email is accurate as a report with your list of registered campers will be sent to the email listed. 

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* 4. Secondary Congregation Contact 
Must be different from Primary Leader

2020 Group Block Request
Please indicate site and week in order of preference.
We take reservations on a first-come-first-served basis. You will be assigned your first preference unless there is a significant indication that the site for the week you request will be booked. You will be contacted to confirm your dates and/or to discuss options if we are unable to place you in your first choice week.
 
NOTE: Once your request is received and approved an invoice will be mailed with confirmed spots and deposit balance due. 

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* 5. Estimated # of Girl Campers

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* 6. Estimated # of Boy Campers 

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* 7. Estimated # of Adults Attending with Campers

Alternate Site and Week Preference
Please indicate an alternate site and week preference that is different from your first preference. You will be contacted to complete an alternate site and week preference if your initial submission does not include this information. Thank you for understanding.

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* 12. Optional Notes:

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