Camp Meeting 2022
Registration 

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Personal Information
First Name 
Last Name 
E-Mail Address 
Contact Phone # w/Area Code 
Home address
City
State
Postal Code
Home Church Location 
Pastor Name
Itinerary
Arrival Date (mm/dd/yyyy)
Return Date (mm/dd/yyyy)
Means Of Travel
Airline & Flight Information
Arrival Time & Airport
Need Shuttle Service TO camp?
Need Shuttle Service FROM camp?
Emergency Contact Name and Number
Camp Meeting Attendees
     Please list EVERYONE within your Household, Including Yourself that's Coming to Camp Meeting.
Name
MUST Choose A Age Group   -  Weekly  or  Weekend 
Gender
Marital 
Status
Under 18, 
Guardian Name
Planning To Stay
Use Space below for Additional Attendees Or Tell US your name and who you would like for your Roommate to be.
Contact Us
Thank you for taking the time to Register for our upcoming Camp Meeting.  Once you click the Submit Button you will be taken to a page where you can choose your payment method.  If need be make a Partial payment and the total amount need to be paid by JULY 15th.  

Choose Your Main Church Duty from the List
Camp Meeting Price List
Weekly Rate
Week-End Rate
0 -3
4 - 8
18 & Older
9 - 17
FREE
FREE
  $50.00
  $50.00
$150.00
$100.00
$375.00
$200.00
Please be advised that REGISTRATION IS NOW CLOSED. We are NOT accepting any more registration forms.
NoYes
No Yes