Holiday Camp In a Box registration

Camp will run from July 6 – 9, Please register below. If there are any questions please contact elaine.fbc.nh@gmail.com

Payment can be sent to either of the below.

E-transfer (tagged with child’s name) sent to office.fbc.nh@gmail.com
Cash or Cheque delivered to mail slot at 150 Hamilton Road, New Hamburg, ON (tagged with child’s name)

Participant 1 Name *

First

Last

Participant 2 Name

First

Last

Participant 3 Name

First

Last

Participant 4 Name

First

Last

Participant 5 Name

First

Last

Number of Camp Boxes ($7.00 each or 3 for $15.00) *

Number of Youth Xtra Small FBC T-Shirts ($5.00 each)

Number of Youth Small FBC T-Shirts ($5.00 each)

Number of Youth Medium FBC T-Shirts ($5.00 each)

Number of Youth Large FBC T-Shirts ($5.00 each)

Number of Youth X-Large FBC T-Shirts ($5.00 each)

Total (please e-transfer to office.fbc.nh@gmail.com)

$ 0.00

Additional Comments

Address to Deliver Boxes & T-Shirts

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

** Free Delivery will br provided to Baden & New Hamburg, out of area boxes and T-Shirts can be picked up at the church (150 Hamilton Rd, New Hamburg)

Name of Parent or Guardian *

First

Last

Parent / Guardian Email Address (Confirmation will be sent, please check junk folder) *

Would you like to recieve future updates and information on Camp FBC? *

Phone

Holiday Camp In a Box registration

Camp will run from July 6 – 9, Please register below. If there are any questions please contact elaine.fbc.nh@gmail.com

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