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2014 FAMILY EVENTS REGISTRATION (NOT FOR SUMMER CAMP)
n Family Camp, Session 1 (Sunday-Wednesday): August 10-13 OR n Family Camp, Session 2 (Thursday-Sunday): August 14-17
Please check Housing Request in order of preference (based on availability and needs.)
NOT FOR SUMMER CAMP REGISTRATION! SEE PAGE 8!
n Bring your own RV or Tent ................................................. $100/person or family maximum of $450
n Platform Tent or Covered Wagon .................................... $100/person or family maximum of $450
n Seeker or Frontier Town Cabin ......................................... $110/person or family maximum of $500
n Retreat Center, Koinonia Lodge, or Log Cabin ........... $120/person or family maximum of $500
FAMILY MAXIMUMS APPLY TO IMMEDIATE FAMILY ONLY. Children 4 and under at the time of camp are free!
n Grandparent/Grandchild Camp: August 18-20 ... $110/Person
n Mother/Daughter Camp: August 22-24 ............ $100/Person Credit Card Information Visa Mastercard Discover
(family max. $270)
n Father/Son Canoe Adventure: August 15-17 .... $100/Person Amount to Charge $ _______________*a 3% surcharge will be applied
(family max. $270)
n Parent/Child Horse Camp: June 29-July 1 ........ $120/Person Card # _________________________________________________ EVENTS REGISTRATION
Total Cost ________________________________________ Expiration Date ______________________ C2V# ______________
Family Members Attending Camp: Cardholder's Name (printed) _______________________________
Adult(s): _________________________________________ Cardholder’s Signature ____________________________________
Address: _________________________________________
City: _______________________________ State ____ Zip ___________ Phone __________________________
E-mail: _________________________________________________________________________________________
Home Church and Town _____________________________
Children: _________________________________________ Age ____ Grade in Fall ‘14 ___________________
_________________________________________ Age ____ Grade in Fall ‘14 ___________________
Retreat Center _________________________________________ Age ____ Grade in Fall ‘14 ___________________
_________________________________________ Age ____ Grade in Fall ‘14 ___________________
Emergency Contact for someone NOT at camp with you:
Emergency Name _____________________________ Emergency Phone Number __________________________
Health Insurance Co. ___________________________ ID Number _______________________________________
Please send this form with at least a $70 deposit to: Sugar Creek Bible Camp
2014 RETREATS REGISTRATION (NOT FOR SUMMER CAMP)
NOT FOR SUMMER CAMP REGISTRATION! SEE PAGE 8!
Retreat registering for: __________________________ Health insurance company ________________________
First Name _____________________________________ Policy # _______________________________________
Last Name ______________________________________ Allergies _______________________________________
n Male n Female Grade _____ Birthdate ___________ Prescription Meds ________________________________
Medical needs ___________________________________ RETREATS REGISTRATION
Address ________________________________________
Annual Auction and NEW Crafters' Fair City ___________________________________________ If participant is under 18, see below:
Parent/Guardian Name(s) ________________________
State ____________________ Zip _________________ ______________________________________________
Phone #1 _______________________________________ Parental Permission: This form is correct as far as I know. The
Phone #2 _______________________________________ person herein described has permission to engage in all camp
activities, except those noted on this form. In the event of an
E-mail _________________________________________ emergency and I cannot be reached, I give permission to the
physician selected by the camp to give necessary medical
Home Church and Town ___________________________ treatment to the person listed above.
Emergency Contact Name _________________________ Parent/Guardian Signature ________________________
Emergency Contact Phone ________________________ Date __________________________________________
Roommate Request(s) ____________________________
n I also give the camp permission to use photos of my
child in promotional publications.
Please send this form with at least a $25 deposit to: Sugar Creek Bible Camp
13141 SUGAR CREEK BIBLE CAMP RD. • FERRYVILLE, WI 54628 • 608-734-3113 • WWW.SUGARCREEKBIBLECAMP.ORG We love because He first loved us! – 1 John 4:19 15
7099_Program.indd 15 12/13/13 10:43 AM
n Family Camp, Session 1 (Sunday-Wednesday): August 10-13 OR n Family Camp, Session 2 (Thursday-Sunday): August 14-17
Please check Housing Request in order of preference (based on availability and needs.)
NOT FOR SUMMER CAMP REGISTRATION! SEE PAGE 8!
n Bring your own RV or Tent ................................................. $100/person or family maximum of $450
n Platform Tent or Covered Wagon .................................... $100/person or family maximum of $450
n Seeker or Frontier Town Cabin ......................................... $110/person or family maximum of $500
n Retreat Center, Koinonia Lodge, or Log Cabin ........... $120/person or family maximum of $500
FAMILY MAXIMUMS APPLY TO IMMEDIATE FAMILY ONLY. Children 4 and under at the time of camp are free!
n Grandparent/Grandchild Camp: August 18-20 ... $110/Person
n Mother/Daughter Camp: August 22-24 ............ $100/Person Credit Card Information Visa Mastercard Discover
(family max. $270)
n Father/Son Canoe Adventure: August 15-17 .... $100/Person Amount to Charge $ _______________*a 3% surcharge will be applied
(family max. $270)
n Parent/Child Horse Camp: June 29-July 1 ........ $120/Person Card # _________________________________________________ EVENTS REGISTRATION
Total Cost ________________________________________ Expiration Date ______________________ C2V# ______________
Family Members Attending Camp: Cardholder's Name (printed) _______________________________
Adult(s): _________________________________________ Cardholder’s Signature ____________________________________
Address: _________________________________________
City: _______________________________ State ____ Zip ___________ Phone __________________________
E-mail: _________________________________________________________________________________________
Home Church and Town _____________________________
Children: _________________________________________ Age ____ Grade in Fall ‘14 ___________________
_________________________________________ Age ____ Grade in Fall ‘14 ___________________
Retreat Center _________________________________________ Age ____ Grade in Fall ‘14 ___________________
_________________________________________ Age ____ Grade in Fall ‘14 ___________________
Emergency Contact for someone NOT at camp with you:
Emergency Name _____________________________ Emergency Phone Number __________________________
Health Insurance Co. ___________________________ ID Number _______________________________________
Please send this form with at least a $70 deposit to: Sugar Creek Bible Camp
2014 RETREATS REGISTRATION (NOT FOR SUMMER CAMP)
NOT FOR SUMMER CAMP REGISTRATION! SEE PAGE 8!
Retreat registering for: __________________________ Health insurance company ________________________
First Name _____________________________________ Policy # _______________________________________
Last Name ______________________________________ Allergies _______________________________________
n Male n Female Grade _____ Birthdate ___________ Prescription Meds ________________________________
Medical needs ___________________________________ RETREATS REGISTRATION
Address ________________________________________
Annual Auction and NEW Crafters' Fair City ___________________________________________ If participant is under 18, see below:
Parent/Guardian Name(s) ________________________
State ____________________ Zip _________________ ______________________________________________
Phone #1 _______________________________________ Parental Permission: This form is correct as far as I know. The
Phone #2 _______________________________________ person herein described has permission to engage in all camp
activities, except those noted on this form. In the event of an
E-mail _________________________________________ emergency and I cannot be reached, I give permission to the
physician selected by the camp to give necessary medical
Home Church and Town ___________________________ treatment to the person listed above.
Emergency Contact Name _________________________ Parent/Guardian Signature ________________________
Emergency Contact Phone ________________________ Date __________________________________________
Roommate Request(s) ____________________________
n I also give the camp permission to use photos of my
child in promotional publications.
Please send this form with at least a $25 deposit to: Sugar Creek Bible Camp
13141 SUGAR CREEK BIBLE CAMP RD. • FERRYVILLE, WI 54628 • 608-734-3113 • WWW.SUGARCREEKBIBLECAMP.ORG We love because He first loved us! – 1 John 4:19 15
7099_Program.indd 15 12/13/13 10:43 AM
