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TRANSCRIPT
Please use one form per camperParticipant Name
Grade completed Spring 2017
Gender Age
Birthdate
Parent / Legal Guardian Name & Cell Phone #
Address
City
State & Zip
Phone #
Health, dietary or other concerns director(s)should be aware of?
Camp attending:Jr. Camp @ Cedar-Valley-Grove Pre-Registration: $90 / Late-Registration: $100
Jr. Camp @ Camp NauvooPre-Registration: $90 / Late-Registration: $100
Jr. High Camp @ Cedar-Valley GrovePre-Registration: $130 / Late-Registration: $150
Sr. High Camp @ Camp NauvooPre-Registration: $130 / Late-Registration: $150
Hosted ByCommunity Of Christ
See reverse side for additional information
Registration Form
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Jr. CampSaturday, June 24th – Tuesday, June 27th
Pre-Registration Fee: $90 by May 15th
Late-Registration Fee: $100
- Cedar-Valley Grove -Monica LaRoque
(563) 320-0057 | [email protected]
Lisa Hill(319) 550-2081 | [email protected]
- Camp Nauvoo -Autumn Fickes
(309) 645-0366 | [email protected]
Melanie Ray(309) 219-4900 | [email protected]
Jr. High Camp at Cedar-Valley Grove
Sunday, July 9th - Saturday, July 15th
Pre-Registration Fee: $130 by May 15th
Late-Registration Fee: $150
Sonia Wiemann(309) 221-1887 | [email protected]
Kenny Wolf(309) 712-5808 | [email protected]
Sr. High Camp at Camp NauvooSunday, June 11th - Saturday, June 17th
Pre-Registration Fee: $130 by May 15th
Late-Registration Fee: $150
Sonia Wiemann(309) 221-1887 | [email protected]
Kenny Wolf(309) 712-5808 | [email protected]
Spectacular at Graceland University
Saturday, July 22nd - Saturday, July 29th
Early Bird Registration Fee: $330 by June 21st
Late-Registration Fee: $430 Keep a look out for SPEC registration materials.
Wil Wiemann(319) 750-5301 | [email protected]
Scott Gelande(563) 508-1102 | [email protected]
We are pleased to invite you to a summer of camping at Camp Nauvoo & Cedar-Valley Grove
You can get information, forms, & register online at www.cvnmc.org or contact your local Community of Christ congregation.
Register by May 15th to receive camp discount
Camps offer a lot of great experiences for children and youth - crafts, sports, Christian living, and opportunities to get together and learn about Christ. Come prepared for a week full of life changing days. Each camp is planned with age appropriate activities and lessons, so we
have something for everyone. Camp is fast approaching, so be sure to register now!
Please remember that financial assistance may be available to help you attend camp. No youth will be turned away due to lack of funds to pay for camp. Contact the director of the camp you are attending for more information.
_____ A congregation is providing a part of my fee. They are paying $_______, and I am paying the remainder now.
Congregation: _________________________________
_____ I am not paying in full at this time. I will pay the full fee, or the remainder of the fee at camp.
Please indicate your desired T-shirt size:
Child size S M L
Adult size S M L XL Other _________
Amount enclosed for this registrartion $________
By registering and coming to camp, you (youth & guardians) agree to follow the rules set forth by the Youth Ministries Council, and any additional rules set by the director(s) of the event you are attending.
In the event that a camper cannot attend camp, the camp fee will be refunded in full.
Opportunities to make contributions to help youth attend youth events are available. Please contact Diane Poplett for more information.
Make checks payable to:Cedar Valley-Nauvoo Mission Center
Please detach & mail to:Diane Poplett
217 Maple Park Dr.Pekin, IL 61554 - 2527
Registrations can also now be made online at app.campdoc.com/register/community-of-christ
Jr. Camp: For those going into Grades 4, 5, & 6Jr. High Camp: For those going into Grades 7, 8, & 9
Sr. High Camp: For those going into Grades 10, 11, 12 & Graduated