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Register for 2009 Camp

Note: This page is for churches wishing to register for camp. To change your number of students registered please call 502-491-7000 or click here to email us.

This form does not officially register you for camp. You will be contacted to confirm your registration.

* indicates a required field.

*Please choose your camp location:

*Please Choose Your Event:

*Please Choose Your Week of Camp:

*Please Choose your Housing:

Note: The housing you choose is subject to change due to size restrictions and availability.

*Number of Students Attending:
*Number of Adults Attending:
Church Information
*Church Name:
*Church Mailing Address:
*Church State:
*Church City:
*Church Zip Code:
*Church Phone Number:
Church Website:  
Pastor Name:
Group Leader Contact Information  
*First Name:
*Last Name:
*Position:
*Home Phone:
*Cell Phone:
*Email Address:
*Email Address Confirm:
*Address
*City
*State
*Zip Code
*Do You prefer to have information mailed to your church address or your personal address?
*We will be contacting you from time to time. What number do you prefer for us to use to contact you?
*How did you hear about Crossings?

*Who Will be Attending camp?
If someone other than the Group Leader Contact Person listed above, please indicate who below.

Alternate attender of Camp (See note above):