REGISTRATION

Registration includes 3 meals Saturday, 1 meal Sunday, housing Friday and Saturday night, a canoe trip, Breakout Sessions, Large and small group activities, Worship, and a campfire cookout you won't forget.

Cost $80.00

We Accept Pay Pal (Please Add $3.00 if using Pay Pal)

or

Cash or Check Payable to Shoal Creek Baptist Association

* Indicates required field

Name *

First

Last

WHO ARE YOU COMING WITH *

CELL NUMBER *

IF YOUR SCHOOL IS NOT LISTED THEN LIST YOUR COLLEGE, UNIVERSITY, OR CHURCH *

DATE OF BIRTH *

FOOD ALLERGIES *

Email *

Emergency Contact Number *

Name of Emergency Contact *