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Please use one form per camper Participant Name Grade completed Spring 2017 Gender Age Birthdate Parent / Legal Guardian Name & Cell Phone # Address City State & Zip Phone # Health, dietary or other concerns director(s) should be aware of? Camp attending: Jr. Camp @ Cedar-Valley-Grove Pre-Registration: $90 / Late-Registration: $100 Jr. Camp @ Camp Nauvoo Pre-Registration: $90 / Late-Registration: $100 Jr. High Camp @ Cedar-Valley Grove Pre-Registration: $130 / Late-Registration: $150 Sr. High Camp @ Camp Nauvoo Pre-Registration: $130 / Late-Registration: $150 Hosted By Community Of Christ See reverse side for additional information Registration Form To The Edge Cedar Valley - Nauvoo Mission Center Youth Ministries Council c/o Diane Poplett 217 Maple Park Dr., Pekin IL 61554

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Page 1: Hosted Bycvnmc.org/wp-content/files_mf/14939547972017CampTrifold2017.0… · 28/3/2017  · Sr. High Camp @ Camp Nauvoo Pre-Registration: $130 / Late-Registration: $150 Hosted By

Please use one form per camperParticipant Name

Grade completed Spring 2017

Gender Age

Birthdate

Parent / Legal Guardian Name & Cell Phone #

Address

City

State & Zip

Phone #

Health, dietary or other concerns director(s)should be aware of?

Camp attending:Jr. Camp @ Cedar-Valley-Grove Pre-Registration: $90 / Late-Registration: $100

Jr. Camp @ Camp NauvooPre-Registration: $90 / Late-Registration: $100

Jr. High Camp @ Cedar-Valley GrovePre-Registration: $130 / Late-Registration: $150

Sr. High Camp @ Camp NauvooPre-Registration: $130 / Late-Registration: $150

Hosted ByCommunity Of Christ

See reverse side for additional information

Registration Form

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Page 2: Hosted Bycvnmc.org/wp-content/files_mf/14939547972017CampTrifold2017.0… · 28/3/2017  · Sr. High Camp @ Camp Nauvoo Pre-Registration: $130 / Late-Registration: $150 Hosted By

Jr. CampSaturday, June 24th – Tuesday, June 27th

Pre-Registration Fee: $90 by May 15th

Late-Registration Fee: $100

- Cedar-Valley Grove -Monica LaRoque

(563) 320-0057 | [email protected]

Lisa Hill(319) 550-2081 | [email protected]

- Camp Nauvoo -Autumn Fickes

(309) 645-0366 | [email protected]

Melanie Ray(309) 219-4900 | [email protected]

Jr. High Camp at Cedar-Valley Grove

Sunday, July 9th - Saturday, July 15th

Pre-Registration Fee: $130 by May 15th

Late-Registration Fee: $150

Sonia Wiemann(309) 221-1887 | [email protected]

Kenny Wolf(309) 712-5808 | [email protected]

Sr. High Camp at Camp NauvooSunday, June 11th - Saturday, June 17th

Pre-Registration Fee: $130 by May 15th

Late-Registration Fee: $150

Sonia Wiemann(309) 221-1887 | [email protected]

Kenny Wolf(309) 712-5808 | [email protected]

Spectacular at Graceland University

Saturday, July 22nd - Saturday, July 29th

Early Bird Registration Fee: $330 by June 21st

Late-Registration Fee: $430 Keep a look out for SPEC registration materials.

Wil Wiemann(319) 750-5301 | [email protected]

Scott Gelande(563) 508-1102 | [email protected]

We are pleased to invite you to a summer of camping at Camp Nauvoo & Cedar-Valley Grove

You can get information, forms, & register online at www.cvnmc.org or contact your local Community of Christ congregation.

Register by May 15th to receive camp discount

Camps offer a lot of great experiences for children and youth - crafts, sports, Christian living, and opportunities to get together and learn about Christ. Come prepared for a week full of life changing days. Each camp is planned with age appropriate activities and lessons, so we

have something for everyone. Camp is fast approaching, so be sure to register now!

Please remember that financial assistance may be available to help you attend camp. No youth will be turned away due to lack of funds to pay for camp. Contact the director of the camp you are attending for more information.

_____ A congregation is providing a part of my fee. They are paying $_______, and I am paying the remainder now.

Congregation: _________________________________

_____ I am not paying in full at this time. I will pay the full fee, or the remainder of the fee at camp.

Please indicate your desired T-shirt size:

Child size S M L

Adult size S M L XL Other _________

Amount enclosed for this registrartion $________

By registering and coming to camp, you (youth & guardians) agree to follow the rules set forth by the Youth Ministries Council, and any additional rules set by the director(s) of the event you are attending.

In the event that a camper cannot attend camp, the camp fee will be refunded in full.

Opportunities to make contributions to help youth attend youth events are available. Please contact Diane Poplett for more information.

Make checks payable to:Cedar Valley-Nauvoo Mission Center

Please detach & mail to:Diane Poplett

217 Maple Park Dr.Pekin, IL 61554 - 2527

Registrations can also now be made online at app.campdoc.com/register/community-of-christ

Jr. Camp: For those going into Grades 4, 5, & 6Jr. High Camp: For those going into Grades 7, 8, & 9

Sr. High Camp: For those going into Grades 10, 11, 12 & Graduated