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Virginia Family Campmeeting Registration Form
Use only one registration form per family. Registration deadline is 9/11/10. After this date registrations can be hand delivered at the registration desk for VA Family Camp.
General information:
Parent(s) names:
Mailing address:
City
State:
Zip:
Email:
Phone:
Children's name 1:
Age:
Children's name 2:
Age:
Children's name 3:
Age:
Children's name 4:
Age:
Children's name 5:
Age:
Children's name 6:
Age:
Lodging:
YOU MUST CALL LEE PERSCHINO AT (804) 375-3485 for availability of lodging before submitting this form.
Two families may have to be combined per cabin if needed.
Lodging Descriptions:
Dorm Rooms
accommodates two people per room with a shared bathroom. Kitchen facilities are available.
Efficiency Cabin
accomodates up to 12 people with two bathrooms and kitchen area.
Winter Cabin
accomodates up to 12 people. They are in close proximity to bathroom facilities.
Summer Cabin
accomodates up to 12 people. They are in close proximity to bathroom facilities.
Nightly Rates/per person
Nights Needed
Subtotals
Ages:
Wed.
Thurs.
Fri.
Sabbath
Dorm Rooms
9+
$18.00
$0.00
4-8
$9.00
Efficiency Cabin
9+
$16.00
$0.00
4-8
$8.00
Winter Cabin
9+
$12.00
$0.00
4-8
$6.00
Summer Cabin
9+
$10.00
$0.00
4-8
$5.00
Nightly Rates/per night
Nights Needed
Subtotals
Wed.
Thurs.
Fri.
Sabbath
RV site (full hookup)
$17.50
$0.00
Pop-up (2 hookups)
$15.00
$0.00
Tent site
$8.00
$0.00
Day Guest
$2.50
$0.00
Meal required:
We do not require any meals
Breakfast
(8 am)
Lunch
(1 pm)
Supper
(5:30 pm)
Ages:
# 9-Adult
# 4-8
# 9-Adult
# 4-8
# 9-Adult
# 4-8
Thursday
Friday
Sabbath
Sunday
---
---
---
---
# x $9.00
# x $4.50
# x $9.00
# x $4.50
# x $9.00
# x $4.50
Subtotals
Total
$0.00
Total
$0.00
Total
$0.00
Total
$0.00
Total
$0.00
Total
$0.00
TOTALS
Lodging total
$0.00
Meals total
$0.00
PayPal fee
$0.00
TOTAL COST
$0.00
Remember you MUST CALL LEE PERSCHINO at (804) 375-3485 for availability of lodging before submitting this form.
