Dates: August 10-22, 2008
Place: Oceanwood, Ocean Park, ME
Registration: 2:00-4:00 PM Sunday, August 10th
Pick up: 3:00 PM Friday, August 22nd
Cost of CYC:
Online Registration Fee: $100 (due upon completion of this form)
Remaining Camp Fee: $500 (to be paid via cash or check on or before August 10th)
Total: $600
Age Requirement: Participants must have completed the 9th grade by August of 2008.
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To register for CYC 2008, please complete the following form. When finished please click on the 'Submit Registration' button, at which point you will be redirected to PayPal to pay the $100.00 registration fee.
Please note that all fields marked with an * are required. |
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| Camper Information |
| First Name: |
*
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| Last Name: |
*
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| Address: |
*
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| City: |
*
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| State (abbrev): |
*
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| Zip Code: |
*
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| Phone Number: |
-
-
*
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| Email Address: |
*
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| Date of Birth: |
*
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| Grade: |
10
11
12
Out of High School *
(as of Sept. 2008) |
| Sex: |
Female
Male * |
| Year at CYC: |
1
2
3 * |
| Desired T-shirt Size: |
Small
Medium
Large
XL
XXL * |
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| Name of Parent/Guardian: |
*
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Did someone who has already attended CYC encourage you to attend?
If so, please list the name of the one person most responsible for |
| encouraging you to attend: |
(please enter only one name)
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| Church Information (if applicable) |
| Church Name: |
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| Church Address: |
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| Church City: |
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| Church State (abbrev): |
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| Church Zip Code: |
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| Church Phone Number: |
-
-
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| Church Scholarship Amount: |
$
(if applicable)
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| Name of Pastor: |
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NOTE: This registration form is only valid if you follow the instructions on the next page and pay the $100 registration fee via credit card through PayPal.
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