Man Camp 2021
Please fill out this form click submit.
Father Name
*
Father Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
1. Son's Name
Age
2. Son's Name
Age
3. Son's Name
Age
4. Son's Name
Age
5. Son's Name
Age
Does any one that your are registering have any dietary need?
*
Please Select a pre or post Man Camp Duty This field is optional to allow for easy registration. However for each of these dates and events help is needed to make this event possible.
Please select one option.
Shop Costco Monday June 7, Meet at church 8:00
Load Trailer for Man Camp Thursday June 10 9:00-12:00 Crossroads Church
Set Up Man Camp Thursday, June 10 All Day
Unpack Trailer Clean Up Gear Monday June 14, 9:00 am Crossroads Church
Payment Please select the payment for your attending number.
Father Son Combo ($100.00)
Father plus two Sons ($110.00)
Father plus three Son's ($120.00)
Father plus four Son'e ($130.00)
Father plus five Son's ($140.00)
Adult station Worker ($0)
Father Son Cash ($0)
Father Son Combo ($100.00)
Father plus two Sons ($110.00)
Father plus three Son's ($120.00)
Father plus four Son'e ($130.00)
Father plus five Son's ($140.00)
Adult station Worker ($0)
Father Son Cash ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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