Form - Hartland Christian Camp

Name *

First

Last

Registration pay Share

List All Attending Daughters and ages: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

First Housing Choice: *

Deluxe (Linens provided, private bathroom)
Semi-Deluxe with linens (shared bathrooms down the hall)
Semi-Deluxe (private bathroom, but no linens provided)
Cabin's Plus (toilet/sink, no linens provided, community shower area broken up by guys/girls)
Cabin (bring your own linens, community bathroom nearby - men's and women's sides)
RV site with hookups for water/power/septic

Second Housing Choice: *

Deluxe (Linens provided, private bathroom)
Semi-Deluxe with linens (shared bathrooms down the hall)
Semi-Deluxe (private bathroom, but no linens provided)
Cabin's Plus (toilet/sink, no linens provided, community shower area broken up by guys/girls)
Cabin (bring your own linens, community bathroom nearby - men's and women's sides)
RV site with hookups for water/power/septic

Share with us what you're hope for this retreat is: *

(Grow closer together, have fun together, witness to your daughter or mother, etc.)

How did you hear about this event? *

How would you like to pay your $40 Registration Fee? *