* 1. Congregation Name:

* 2. City:

* 3. Contact Person:

* 4. Phone:

* 5. Email:

* 6. Billing Address:

* 7. Zip Code:

* 8. FOR CONFIRMATION CAMP ONLY: Pastor/Youth Director led Study Time for Confirmation Camp is your choice of 1 to 2 hours per day. If you choose staff-led Bible studies, they are 1 hour long and done in cabin or bunkhouse groups. To help us plan camper housing and staff assignments, please check all that apply:

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