Form

Day Camp Reservation Form
Summer 2010 Church Information
Church Name:
Church Address:
City:
State:
Zip:
Church Email:
Church Phone:
Coordinator Information
Coordinator Name:
Coordinator Address:
City:
State:
Zip:
Coordinator Email:
Coordinator Phone:
Alternate Phone:
Reservation Information
Please place your top three weeks in order of preference.
**Special Shortened Week** We can arrange a shortened week (at a REDUCED cost) during the week of July 4-9. If you would like to discuss options for this shortened week, please let us know in the notes section below.
First Choice:
Second Choice:
Third Choice:
Estimated # of Campers:
Has your church done Day Camp with Crossways before?

Yes (last year) Yes (previous years) Not yet
Notes:
...
Should be Empty:

Day Camp Reservation Form