At Lake Aurora...

Families make Memories 

Take time out from your schedule to spend some time with your child.

                             Click here to see a sample schedule.

 

 

Mother Daughter Retreat I     October 2-3, 2009
Cost: $52/adult and $37/child 5-18 (reduced rate for under 5) 

Father Son Lakeside Retreat     November 20-21, 2009       
  Optional CampOut Extension    November 21-22, 2009

 

You may print this page and fax your registration with a credit card to 863.696.1062, Attention Cora.

You may also request a registration be sent to you. Please include your mailing address with your request for this retreat.

Mail or fax completed registration and $45 deposit or full payment..
Please remember Lakeside Retreats are limited to the first 100 retreatants. They will be processed in the order they are received in the camp office. The Father/Son CampOut extension is limited to 35 participants. CampOut is tent camping (with bathhouse) at Lake Kissimmee State Park which includes supper and breakfast cooked over an open fire.
A confirmation ticket will be mailed back to you for check in with additional information.

 

 

Please print registration form (one form per person) and fax to 863.696.1062
If you prefer, you may fax your registration form and pay on-line using our secure server.
(Just use the Registration box for fees to be paid - it will appear as a 'donation' but it is a payment)

Mother/Daughter or Father/Son Registration

Adults Name:___________________________________________________

Childs Name(s):__________________________________________________

        Age(s):_____________________________________________________

 (All ages are welcome. However, past participants recommend at least 4 years and up as activities are geared more to interactive ages)

Address:________________________________________________________

              ________________________________________________________

City:__________________________________ St:_______ Zip:_________________

Phone: (include area code)____________________________________________

email address:_____________________________________________________

Home Church/City:__________________________________________________________

_____Mother & Daughter Retreat       October 2-3, 2009 ($52/$37)
_____Father & Son Lakeside Retreat      November 20-21, 2009 ($52/$37)
_____Optional Camp Out Extension        November 21-22  Additional cost: ($27/$17)

$ Amount Enclosed:_______________________       $45 deposit per retreat or full payment.
Ambassador Discount?  ___    Ambassador #:_______

Charge to:     Mastercard      Visa    American Express      Discover
(3% surcharge when using a corporate account credit card)   

CC #____________________________________________________________exp______
 

Authorized Signature:____________________________________________________

Billing address of cardholder:_____________________________________________
    City:___________________________________ST:___________Zip:_______________
    Phone of card holder: __________________________________________________

Deposit is transferable but not refundable.

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