Northern Mi. Mennonite Snow Camp

 REGISTRATION FORM

THERE ARE TWO FORMS! All fields on these forms are required .
Please fill out the forms completely then Print the forms - Sign the forms
Mail the printed forms, with payment, to :
Diane Miller   N8258 M117    Engadine, Mi.  4827   906.477.6505

Camper Information Section
Camper Full Name:   Grade   B-Day
Street Address:
P.O. Box:
City:
State:
Zip:
Email Address: MSN Contact Info
Parent / Guardian Information Section
Parents Name:
Street Address:
P.O. Box:
City:
State:
Zip:
Home Ph: Cell:
Work Ph:
Emergency:

I, the undersigned parent/guardian of the child(ren) named above, have read and agree to the guidelines and give permission for my child to attend Northern Mi. Mennonite Snow Camp,Engadine, Mi. March 5-7,2010. DO NOT FORGET TO FILL OUT THE MEDICAL RELEASE FORM HERE

Parents Signature:______________________________________ Date:___________