[Printer Friendly Version]-Family, Senior, & Men's Camp Registration Form at Pleasant Valley Christian Camp 2001

Puget Sound Christian Service Camp

E-mail:
PLEASANT VALLEY CHRISTIAN CAMP

P.O. Box 175 Mineral, WA 98355
1-800-789-9841

2001 Pleasant Valley Family Registration Form
Registration is not COMPLETE until we have received your deposit.

Camper's Name(s):

E-mail:

Address:

City:

State:

Zip:

Phone:

Church:

Family's medical insurance company name:

Please list names and ages of all children in your family who will be attending this camp:

Child's Name:

Grade:

Child's Name:

Grade:

Child's Name:

Grade:

Child's Name:

Grade:

Child's Name:

Grade:

Child's Name:

Grade:

Arrival Time:

Day:

Departure Time:

Day:
Please list your accommodation preference:
RV (Size)

Cabin

Dorm

Tent

REGISTRATION FOR:

Memorial Day Work Camp, May 26-29

Family Camp, July 30-August 5

Labor Day Camp, Sept. 1-4

NOTE: There is a "No Dog" Policy for all camps. Please make other arrangements for your dog.

Mail completed form and fees to:
Pleasant Valley Registrar
c/o Shoreline Christian Church
14800 First Ave. N.E., Shoreline, WA 98155
1-800-789-9841 • Fax: 206-364-3288
E-mail: pvccpam@juno.com
Or register online: www.pleasantvalleycamp.org