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Virginia Family Campmeeting Registration Form
 
Use only one registration form per family. Registration deadline is 9/10/11. 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
  

All meal requests need to be in by 9/1/11. No meal requests will be taken after this date.
Meals required:               We do not require any meals
 
  Breakfast (8 am) Lunch (1 pm)
Ages: # 9-Adult # 4-8 # 9-Adult # 4-8
Thursday
Friday
Sabbath
Sunday --- ---
  # 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
 
 
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.