Registration Form:   Youth Camp 2008

Give completed and signed registration card to your youth leader or camp  coordinator.   These must be mailed with the camp fee to the  First Independent Methodist Church, 3 Oxmore-Flint Rd., Decatur, Alabama 35603  by June 1. Camp fee is $105.00 for camper or counselor.  Shirts not included, you can purchase one for $5.00.  If you would like to purchase one, please indicate below.


Last Name                                                                           First Name
Date of Birth                                                                        Age
Male           Female                                                             T-Shirt  Yes    No    size

Parents Name                                         
Address                                                                               Phone No



Emergency Phone Number

Church Attending Camp with

___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   ___   __

Registration Form:  Youth Camp 2008

Give completed and signed registration card to your youth leader or camp  coordinator.   These must be mailed with the camp fee to the 
First Independent Methodist Church, 3 Oxmore-Flint Rd., Decatur, Alabama 35603  by June 1. Camp fee is $105.00 for camper or counselor.  Shirts not included, you can purchase one for $5.00.  If you would like to purchase one, please indicate below.


Last Name                                                                           First Name
Date of Birth                                                                        Age
Male           Female                                                             T-Shirt  Yes    No    size

Parents Name                                         
Address                                                                               Phone No



Emergency Phone Number

Church Attending Camp with

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