Family Camp July 1-4, 2021 Deluxe Cabin Registration

Registration Form

Please register each person in your family.

Number of people in your Family

Selected Value: 1

Name *

First

Last

Age Category 1

Please enter actual age below

Name *

First

Last

Age Category 2

Please enter actual age below

Name *

First

Last

Age Category 3

Please enter actual age below

Name *

First

Last

Age Category 4

Please enter actual age below

Name *

First

Last

Age Category 5

Please enter actual age below

Name *

First

Last

Age Category 6

Please enter actual age below

Name *

First

Last

Age Category 7

Please enter actual age below

Name *

First

Last

Age Category 8

Please enter actual age below

Name *

First

Last

Age Category 9

Please enter actual age below

Please list any food allergies/restrictions or other concerns we should be aware of

Meal Groupings

Table assignments will be by Housing unit. You may eat with another family if you would like, but it must remain the same grouping during the entirety of your stay. Groupings can have no more than 2 Households and may not exceed 16 people. These groupings will remain your safe zone throughout you stay.

Please Choose One

We would like to choose another family to sit with during meals
We would like you to put us with another family
We would rather dine with just our family

List Family you would like to sit with

Total Amount Due

$ 0.00

Payment Information

A $100.00 deposit written to CrossPoint Community Church is required to hold your spot. Please Mail to: Camp Chinquapin, PO Box 1057, Pinecrest CA 95364 . Full Payment is due upon arrival. (Cash, Check, or Credit Card accepted at camp)

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Family Camp Deluxe Cabin
Registration July 1-4, 2021

Registration Form

Meal Groupings

Payment Information

address

Family Camp Deluxe Cabin Registration July 1-4, 2021

Registration Form

Meal Groupings

Payment Information

address

Family Camp Deluxe Cabin
Registration July 1-4, 2021